Glaucoma after vitreo-retinal surgery with silicone oil injection: epidemiologic aspects

Montanari, P.; Troiano, P.; Marangoni, P; Pinotti, D.; Ratiglia, Roberto; Miglior, M

doi:10.1007/bf00212941

Cited by 7 publications

(4 citation statements)

References 7 publications

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“…25 Emulsified silicone oil is associated with the highest rate of postoperative IOP elevation, and this is why we removed the oil after 3-6 months in all our cases. 37 Mean IOP significantly increased in both groups of our study, most likely as a result of successful retinal reattachment as retinal detachment is known to reduce IOP. Nine eyes required antiglaucoma drops and two eyes required filtering surgery to control IOP in our study.…”

Section: Discussionmentioning

confidence: 52%

<p>Comparison Between Silicone Oil and Gas in Tamponading Giant Retinal Breaks</p>

Moharram¹,

Abdelhalim²,

Hamid³

et al. 2020

OPTH

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The purpose of this study is to compare anatomical and visual outcomes after using silicone oil (SO) or C 3 F 8 gas as tamponades after pars plana vitrectomy (PPV) for retinal detachment (RD) associated with giant retinal tears (GRTs). Methods: A retrospective chart review was conducted for cases that underwent PPV for GRT-associated RD. We excluded eyes that had prior vitreoretinal surgery, a history of ocular trauma or worse than grade B proliferative vitreoretinopathy (PVR). Baseline demographic and ocular characteristics, surgical details and postoperative anatomical and visual outcomes were recorded and statistically analyzed. Results: We included 88 eyes; 48 eyes had C 3 F 8 gas and 40 eyes had SO as a tamponading agent. Mean age was 39 years. All eyes underwent 23G PPV with no adjuvant scleral buckling and phacovitrectomy was performed for all phakic eyes. Final retinal reattachment was achieved in 86 eyes (97.7%). One eye from each group had recurrent RD. Postoperative vision was significantly better in the gas group (p= 0.008). Prolonged increase of IOP developed in 6 eyes in the SO group and 5 eyes in the gas group. Prolonged uveitis developed in 4 eyes in the gas group and 6 eyes in the oil group (P= 0.04). Epiretinal membranes (ERM) developed in 10 eyes in the gas group and 9 eyes in the oil group. We found no significant difference between both groups regarding postoperative glaucoma or ERM formation. Conclusion: Both agents achieved similar favorable anatomical outcomes in a series of eyes with fresh GRT-associated RD and low-grade PVR, with better visual outcome and less frequent uveitis associated with the use of gas tamponade.

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Section: Discussionmentioning

confidence: 52%

<p>Comparison Between Silicone Oil and Gas in Tamponading Giant Retinal Breaks</p>

Moharram¹,

Abdelhalim²,

Hamid³

et al. 2020

OPTH

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“…This allows easy selection of fundus details and easy application of intraoperative and postoperative laser. In addition, due to the mechanical effect of silicone can slow the spread of detachment, confine the detachment (20).…”

Section: Discussionmentioning

confidence: 99%

Proliferatif Vitreoretinopatilerde Pars Plana Vitrektomi Sonuçlarımız

Koç¹

2020

Konuralp Tıp Dergisi

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This study was carried out in order to evaluate the clinical features, surgical treatment results and complications encountered in patients who underwent pars plana vitrectomy due to PVR in our clinic. Methods: Forty-eight eyes of 47 patients who underwent pars plana vitrectomy for PVR were included in the study. Pars plana vitrectomy was applied to both eyes of one of these cases due to PVR. 29 (61.7%) of the cases were male and 18 (38.2%) were female. Routine ophthalmologic examination was performed to all patients. All operations were performed by the same surgeon. Results: Forty-eight eyes of 47 patients with various levels of PVR underwent pars plana vitrectomy. 29 eyes (60.41%) underwent once pars plana vitrectomy, 18 eyes (37.5%) underwent 2 times pars plana vitrectomy and 1 eye (2.08%) underwent 3 times pars plana vitrectomy. In the postoperative period, the patients were followed up between 2 months and 16 months (mean 6.6 months). At the end of the follow-up period, our anatomic success rate was 81.25% and total retinal attachment was achieved in 39 eyes. Retinal detachment was observed in 4 eyes (8.33%) anterior of scleral buckling, while posterior pole was attached. In 5 eyes (10.41%) retinal attachment could not be achieved and 3 of these eyes (6.25%) developed phthisis. Conclusions: Vitreretinal surgery can provide anatomical and functional success in eyes with rhegmatogenous retinal detachment and PVR. This success rate has increased especially in recent years with the use of gas and silicone oil as intraocular tamponade, intraoperative use of perfluorocarbon fluids, introduction of wide angle vision systems and advances in surgical techniques.

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“…Aphakia, steroids use and previous vitreoretinal surgery have been described as risk factors for glaucoma in patients who underwent PPV with silicon oil injection (2) . After removal of the silicon oil, the intraocular pressure can continue high due to possible structural damage to the trabecular meshwork (1)(2)(3)(4)(5)(6)(7)(8)(9) .…”

Section: Introductionmentioning

confidence: 99%

Nitric oxide levels in the anterior chamber of vitrectomized eyes with silicon oil

Escarião¹,

Biasi²,

Carvalho³

et al. 2013

Rev. bras.oftalmol.

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Glaucoma after vitreo-retinal surgery with silicone oil injection: epidemiologic aspects

Cited by 7 publications

References 7 publications

<p>Comparison Between Silicone Oil and Gas in Tamponading Giant Retinal Breaks</p>

<p>Comparison Between Silicone Oil and Gas in Tamponading Giant Retinal Breaks</p>

Proliferatif Vitreoretinopatilerde Pars Plana Vitrektomi Sonuçlarımız

Nitric oxide levels in the anterior chamber of vitrectomized eyes with silicon oil

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