Estudo macular em olhos com óleo de silicone por meio da tomografia de coerência óptica

Júnior, Otacílio de Oliveira Maia; Takahashi, Walter Yukihiko; Nakashima, Yoshitaka; Júnior, Hélio Paulo Primiano; Takahashi, Beatriz Sayuri; Nakashima, Aloísio Fumio

doi:10.1590/s0004-27492007000200017

Cited by 2 publications

(1 citation statement)

References 15 publications

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“…Our concern was the ability of OCT to detect macular pathological changes in the presence of SiO and its correlation to clinical and surgical findings. Maia et al 12 studied the changes in silicone-filled eyes. They included fewer eyes (n=28), and details of some examples of the cases were described.…”

Section: Discussionmentioning

confidence: 99%

Value of optical coherence tomography in the detection of macular pathology before the removal of silicone oil

Rashad

Mohamed

Ahmed

2016

OPTH

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PurposeTo assess the pathological macular changes with optical coherence tomography (OCT) before the removal of silicone oil (SiO) in eyes that had undergone pars plana vitrectomy for complicated forms of retinal detachment (RD).Patients and methodsSubjects included 48 patients (51 eyes) with complicated RD including proliferative vitreoretinopathy, proliferative diabetic retinopathy, recurrent RD, penetrating trauma, uveitis, giant retinal tears, and macular holes. All the eyes had undergone SiO injection. Furthermore, all eyes had been planned for the removal of SiO 6–12 months after the primary surgery. Finally, all eyes had a fundus examination and OCT examination before the silicone oil removal.ResultsOCT findings indicated epiretinal membrane in 41% of the eyes, macular edema in 17%, macular detachment in 13.5%, macular thinning in 13.5%, macular holes in 10%, and subretinal membranes in 2%. Preoperative OCT was normal in only 12% of the eyes, while a clinical fundus examination was normal in 43% (P<0.001). Eyes with normal OCT had significantly better mean logMAR (0.35) than eyes with pathological changes detected through OCT (1.28; P<0.001). Surgical modifications were made during the removal of SiO in 74.5% of the eyes.ConclusionOCT detected significantly more pathological changes than a clinical fundus examination. This had an impact on both surgical step modification during the removal of SiO and predictability of visual outcome after the removal of SiO.

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Section: Discussionmentioning

confidence: 99%