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. 2012 Mar;26(3):444-7.
doi: 10.1038/eye.2011.319. Epub 2011 Dec 9.

Silicone oil removal after rhegmatogenous retinal detachment: comparing techniques

H S Tan  1 , R Dell'omo, M Mura
Affiliations

Silicone oil removal after rhegmatogenous retinal detachment: comparing techniques

H S Tan et al. Eye (Lond). 2012 Mar.

Abstract

Purpose: To assess the outcome of silicone oil removal after rhegmatogenous retinal detachment (RRD) surgery, and to compare results of a two-port (infusion-extraction) versus a three-port (full vitrectomy) approach.

Methods: Primary outcome measure was the rate of redetachment. Secondary outcome measures were visual acuity, rate of intraoperative and postoperative epiretinal membrane removal and complications.

Results: We included 147 consecutive cases. There were 15 cases of giant retinal tear, 26 cases of RRD without proliferative vitreoretinopathy (PVR) and 106 cases of RRD with PVR. The overall redetachment rate after silicone oil removal was 17.7%. In the group treated with the two-port technique (n=95), the retina redetached in 16 cases (16.8%), and in the group treated with the three-port technique (n=52), redetachment occurred in 10 cases (19.2%). This difference was not statistically significant (P=0.717; χ (2)-test). There was a significantly higher redetachment rate in cases with a short oil tamponade duration of <2 months.

Conclusion: We reconfirm a relatively high redetachment rate after silicone oil removal. The risk of redetachment is not lower with the three-port compared with the two-port approach.

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References

    1. McCuen BW, Azen SP, Stern W, Lai MY, Lean JS, Linton KL, et al. Vitrectomy with silicone oil or perfluoropropane gas in eyes with severe proliferative vitreoretinopathy. Silicone Study Report 3. Retina. 1993;13 (4:279–284. - PubMed
    1. Abrams GW, Azen SP, McCuen BW, Flynn HW, Jr, Lai MY, Ryan SJ. Vitrectomy with silicone oil or long-acting gas in eyes with severe proliferative vitreoretinopathy: results of additional and long-term follow-up. Silicone Study report 11. Arch Ophthalmol. 1997;115 (3:335–344. - PubMed
    1. Jonas JB, Knorr HL, Rank RM, Budde WM. Retinal redetachment after removal of intraocular silicone oil tamponade. Br J Ophthalmol. 2001;85 (10:1203–1207. - PMC - PubMed
    1. Bassat IB, Desatnik H, Alhalel A, Treister G, Moisseiev J. Reduced rate of retinal detachment following silicone oil removal. Retina. 2000;20 (6:597–603. - PubMed
    1. Zilis JD, McCuen BW, de Juan E, Jr, Stefansson E, Machemer R. Results of silicone oil removal in advanced proliferative vitreoretinopathy. Am J Ophthalmol. 1989;108 (1:15–21. - PubMed