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. 2020 Mar;34(3):537-543.
doi: 10.1038/s41433-019-0551-7. Epub 2019 Aug 12.

Silicone oil removal: post-operative complications

Reda Issa  1 , Tian Xia  1 , Marco A Zarbin  1 , Neelakshi Bhagat  2
Affiliations

Silicone oil removal: post-operative complications

Reda Issa et al. Eye (Lond). 2020 Mar.

Abstract

Purpose: To describe the characteristics, outcomes and complications of eyes after silicone oil removal.

Methods: Retrospective case series of eyes that underwent oil removal between 2012 and 2016 at The Institute of Ophthalmology and Visual Science. Visual acuity (VA), intraocular pressure (IOP) and rates of retinal re-detachment, hypotony, ocular hypertension, corneal decompensation, cystoid macular edema (CME) and cataract progression were evaluated.

Results: Totally, 101 eyes of 99 patients (65% male, average age 47.2 years) were identified. Oil tamponade had been used for retinal detachment (RD) repair in all eyes; 15 eyes had also undergone an open globe repair previously. The most common vitreous substitutes used after oil removal were balanced salt solution (BSS) and air in 90% of eyes. The average time of oil tamponade before removal was 9.46 months. The average logMAR VA before oil removal was 1.7 which improved to an average of 1.4 post-operatively. The average IOP pre-operatively was 16.1 mm Hg, which decreased to an average of 14.8 mm Hg post-operatively. Complications after oil removal, included retinal re-detachment (6.9%), hypotony (7.9%), ocular hypertension (12.9%), corneal decompensation (9.9%), CME (2%) and cataract progression (68%).

Conclusion: This study showed an overall improvement in VA and decrease in IOP after oil removal. Cataract progression was the most common complication.

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Conflict of interest statement

M.A.Z. is a consultant for Boerhinger Ingelheim, Cell Cure, Chengdu Kanghong Biotech, Coherus Biosciences, Daiichi Sankyo, Frequency Therapeutics, Genentech/Roche, Healios KK, Iridex, Isarna Therapeutics, Makindus, Novartis Pharma AG, Ophthotech Corp., Percept Corp. The authors declare that they have no conflict of interests.

Figures

Fig. 1
Fig. 1
Time to oil removal by aetiology of retinal detachment (RD)
Fig. 2
Fig. 2
Post-operative complications after SO removal
See this image and copyright information in PMC

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