Clinical Observations and Occurrence of Complications following Heavy Silicone Oil Surgery

Schwarzer, Hendrik; Mazinani, Babac; Plange, Niklas; Fuest, Matthias; Walter, Peter; Roessler, Gernot

doi:10.1155/2014/706809

Cited by 5 publications

(4 citation statements)

References 25 publications

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“…; Schwarzer et al. ). To our knowledge, this is the first report on a direct comparison between the inflammatory outcomes of standard silicone oil and HSO.…”

Section: Discussionmentioning

confidence: 96%

Comparative assessment of intraocular inflammation following standard or heavy silicone oil tamponade: a prospective study

Semeraro

Russo

Morescalchi

et al. 2018

Acta Ophthalmologica

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“…; Schwarzer et al. ). To our knowledge, this is the first report on a direct comparison between the inflammatory outcomes of standard silicone oil and HSO.…”

Section: Discussionmentioning

confidence: 96%

Comparative assessment of intraocular inflammation following standard or heavy silicone oil tamponade: a prospective study

Semeraro

Russo

Morescalchi

et al. 2018

Acta Ophthalmologica

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“…Retinal redetachment is less frequent after HSO usage when compared with different endotamponades. 20–23 None of our cases developed RRD after HSO removal, and all patients were followed up for 12 months after HSO removal.…”

Section: Discussionmentioning

confidence: 89%

Functional and Anatomical Outcomes After Short-Term Heavy Silicone Oil Endotamponade for Inferior Rhegmatogenous Retinal Redetachment, a Pilot Study

Sborgia,

Albano,

Sborgia

et al. 2024

Retina

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Purpose: To assess the success of the short-term location of the heavy silicone oil (Densiron 68, HSO) as endotamponade after pars plana vitrectomy (PPV) for rhegmatogenous complex retinal re-detachment (RRD). Methods: Consecutive, retrospective, nonrandomized, pilot study was conducted. Twenty-two eyes of 22 patients with complex inferior RRD previously tamponade with gas (SF6 or C3F8) or 1000cSt silicon oil (SSO) were selected. All were treated with heavy silicone oil HSO endotamponade, and its removal was performed after 1-month. The main outcomes were best corrected visual acuity (BCVA) and postoperative complications after the heavy silicone oil removal. Results: Of the 22 eyes, 10 were SSO endotamponade, 3 with fluorinated gas 14% C3F8, and 9 with 20% SF6 at first surgery. In all cases, a complex inferior RRD was observed after the first surgery, in 1-3 months after silicone oil removal or gas endotamponade introduction. In ten cases the proliferative vitreoretinopathy PVR (grade B or C 1-3) was found. The main BCVA before HSO removal was 0.55± 0.20 logMAR (range 0.4-0.7) and after the HSO removal, it was 0.32± 0.29 logMAR (0.1-0.4). Among the postoperative complications, only in 4 eyes the macular edema was found (medically resolved), in 4 eyes an increase of intraocular pressure (IOP), and none of these developed the epiretinal membrane (ERM). Conclusion: The main purpose of this study is to establish a short-term heavy silicone oil endotamponade in eyes with complex retinal detachment recurrences, reducing the possible postoperative complications and having a better prognosis for visual acuity outcomes.

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“…8 Because there is increasing evidence of possible detrimental effects caused by SO endotamponade, a safety study is required. [9][10][11][12] Importantly, we speculate that the onset of ERM is not solely caused by SO. Age, smoking and other factors have also been identified as risk factors for ERM.…”

Section: Introductionmentioning

confidence: 75%

Risk factors for epiretinal membrane in eyes with primary rhegmatogenous retinal detachment that received silicone oil tamponade

Pan

Gao

et al. 2022

Br J Ophthalmol

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Background/aimsThis study investigated the risk factors for epiretinal membrane (ERM) in eyes with primary rhegmatogenous retinal detachment (RRD) that received silicone oil (SO) tamponade.MethodsThis retrospective analysis included 1140 patients (1140 eyes) with RRD who underwent primary vitrectomy and SO tamponade. The prevalence of ERM was estimated and possible risk factors (eg, type 2 diabetes, proliferative vitreoretinopathy (PVR), SO tamponade time (SOTT), photocoagulation, vitreous haemorrhage, choroidal detachment, cryotherapy and retinal tear size) were analysed via multiple logistic regression.ResultsThe prevalence of ERM was 12.3% (140/1140), and the accuracy of preoperative ERM diagnosis was 40.5%. Multivariate logistic regression analysis showed that risk factors for ERM in eyes with SO tamponade included preoperative PVR (OR=4.336, 95% CI 2.533 to 7.424, p<0.001), type 2 diabetes (OR=3.996, 95% CI 2.013 to 7.932, p<0.001), photocoagulation energy (OR=1.785, 95% CI 1.306 to 2.439, p<0.001) and SOTT (OR=1.523, 95% CI 1.261 to 1.840, p<0.001). No statistically significant associations were observed between the incidence of ERM and other risk factors. Preoperative PVR showed the strongest association with risk of ERM. The risk of ERM was positively associated with SOTT, photocoagulation energy and preoperative PVR grade.ConclusionIn eyes with RRD that received SO tamponade, the prevalence of ERM was 12.3%, while the accuracy of preoperative ERM diagnosis was low. Preoperative PVR, type 2 diabetes, photocoagulation energy and SOTT were the main risk factors for ERM.

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Clinical Observations and Occurrence of Complications following Heavy Silicone Oil Surgery

Cited by 5 publications

References 25 publications

Comparative assessment of intraocular inflammation following standard or heavy silicone oil tamponade: a prospective study

Comparative assessment of intraocular inflammation following standard or heavy silicone oil tamponade: a prospective study

Functional and Anatomical Outcomes After Short-Term Heavy Silicone Oil Endotamponade for Inferior Rhegmatogenous Retinal Redetachment, a Pilot Study

Risk factors for epiretinal membrane in eyes with primary rhegmatogenous retinal detachment that received silicone oil tamponade

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