Long-Term Evaluation of Anatomic and Functional Results after Complicated Retinal Detachment Treated with Pars Plana Vitrectomy and Heavy Silicone Oil Tamponade

Regler, Roman and Sachs, H. G. and Hillenkamp, J. and Helbig, H. and Framme, C. (2009) Long-Term Evaluation of Anatomic and Functional Results after Complicated Retinal Detachment Treated with Pars Plana Vitrectomy and Heavy Silicone Oil Tamponade. KLINISCHE MONATSBLATTER FUR AUGENHEILKUNDE, 226 (9). pp. 707-712. ISSN 0023-2165,

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Abstract

Background: Heavier than water tamponades offer the possibility to support the inferior part of the fundus after retinal detachment. The aim of this study was to evaluate the anatomic and functional outcome of complicated retinal detachment treated with vitreous surgery and heavy silicone oil (HSO) tamponade. Surgery was performed in eyes with rhegmatogenous retinal detachment (RD) predominantly in the lower hemisphere or with penetrating injury (either as primary intervention or after development of proliferative vitreoretinopathy [PVR]). Materials and Methods: Sixty-one eyes of 61 patients with RD - mostly complicated by PVR - and a minimum follow-up of 12 months were included in this study. Vitreoretinal surgery with HSO (Oxane HD) tamponade was performed in all patients. In 52 patients, heavy silicone oil was used in the management of complicated RD. 9 patients had surgery for complicated RD after penetrating eye injury. The mean follow-up period was 30.3 +/- 10.2 months. Results: The overall final anatomic success rate was 79%. In 39% of the cases the retina remained attached during the entire follow-up period. Conclusions: The anatomic success rate after surgery with HSO (Oxane HD) was relatively low; however, only complex cases bearing a higher risk of retinal re-detachment received HSO in this study. Oxane HD does not appear to have major advantages compared to conventional silicone oil or other new-generation heavy silicone oils in these cases.

Item Type: Article
Uncontrolled Keywords: VITREORETINAL SURGERY; PROLIFERATIVE VITREORETINOPATHY; INTERNAL TAMPONADE; INTRAOCULAR TAMPONADE; FLUOROSILICONE OIL; CASE SERIES; DENSIRON; AGENT; MANAGEMENT; WATER; retinal detachment; heavy silicone oil; Oxane HD; vitrectomy
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Augenheilkunde
Depositing User: Dr. Gernot Deinzer
Date Deposited: 09 Sep 2020 05:44
Last Modified: 09 Sep 2020 05:44
URI: https://pred.uni-regensburg.de/id/eprint/28509

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