Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Observational Study
. 2024 Aug 15;24(1):346.
doi: 10.1186/s12886-024-03618-z.

Retinal redetachment after silicone oil removal: a risk factor analysis

Clément Gisquet  1 , Ndeye Coumba Ndiaye  2 , Chloé Dubroux  3 , Karine Angioi-Duprez  3 , Jean-Paul Berrod  3 , Jean-Baptiste Conart  3
Affiliations
Observational Study

Retinal redetachment after silicone oil removal: a risk factor analysis

Clément Gisquet et al. BMC Ophthalmol. .

Abstract

Purpose: To report the rate of retinal redetachment after silicone oil removal following rhegmatogenous retinal detachment surgery and to determine potential risk factors.

Methods: Retrospective observational case series of 161 eyes who underwent rhegmatogenous retinal detachment surgery and subsequent silicone oil removal. Pre- and intraoperative risk factors were evaluated using univariate and multivariate logistic regression. We also evaluated the effect of tamponade duration on anatomical outcomes.

Results: The median tamponade duration was 5.9 [4.3;7.6] months. Seventeen (10.6%) eyes underwent silicone oil removal within 3 months of surgery, with a median delay of 2.3 [2.0;2.8] months. The rate of retinal detachment after silicone oil removal was 14.9%. A history of previous unsuccessful surgery was the only significant risk factor for retinal redetachment after silicone oil removal (OR 4.8, 95%CI [1.5;19.0], p = 0.02). The use of 360° laser retinopexy and concomitant air or gas tamponade during silicone oil removal were not found to affect the redetachment rate. Eyes with silicone oil tamponade ≤ 3 months showed an increased, albeit not significant, risk of developing recurrent rhegmatogenous retinal detachment after silicone oil removal (35.3% versus 12.5%, p = 0.06).

Conclusion: A retinal redetachment occurred in 14.9% of eyes undergoing silicone oil removal following rhegmatogenous retinal detachment surgery. Previous failed surgery was associated with a 4.8-fold increased risk of developing recurrent rhegmatogenous retinal detachment after silicone oil removal. Eyes with silicone oil tamponade ≤ 3 months tended to have a higher redetachment rate.

Trial registration number: ID NCT05647928 (12th April 2022).

Keywords: Proliferative vitreoretinopathy; Rhegmatogenous retinal detachment; Silicone oil.

PubMed Disclaimer

Conflict of interest statement

The authors declare no competing interests.

References

    1. Azen SP, Scott IU, Flynn HW, Lai MY, Topping TM, Benati L, et al. Silicone oil in the repair of complex retinal detachments. A prospective observational multicenter study. Ophthalmology. 1998;105(9):1587–97. 10.1016/S0161-6420(98)99023-6 - DOI - PubMed
    1. Chen Y, Kearns VR, Zhou L, Sandinha T, Lam WC, Steel DH, et al. Silicone oil in vitreoretinal surgery: indications, complications, new developments and alternative long-term tamponade agents. Acta Ophthalmol (Copenh). 2021;99(3):240–50.10.1111/aos.14604 - DOI - PubMed
    1. Vaziri K, Schwartz SG, Kishor KS, Flynn HW. Tamponade in the surgical management of retinal detachment. Clin Ophthalmol Auckl NZ. 2016;10:471–6. - PMC - PubMed
    1. Federman JL, Schubert HD. Complications associated with the use of silicone oil in 150 eyes after retina-vitreous surgery. Ophthalmology. 1988;95(7):870–6. 10.1016/S0161-6420(88)33080-0 - DOI - PubMed
    1. Ichhpujani P, Jindal A, Jay Katz L. Silicone oil induced glaucoma: a review. Graefes Arch Clin Exp Ophthalmol Albrecht Von Graefes Arch Klin Exp Ophthalmol. 2009;247(12):1585–93.10.1007/s00417-009-1155-x - DOI - PubMed

Publication types

Associated data