Subconjunctival silicone oil drainage through the Molteno implant

Hyung, Siek; Min, Jong‐Pil

doi:10.3341/kjo.1998.12.1.73

Cited by 33 publications

(26 citation statements)

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“…4 Glaucoma drainage implants offer an alternative surgical option but oil migration can occur through the tube into the subconjunctival space inciting an inflammatory reaction. 15,16 Cyclodiode treatment can provide good IOP control as reported by Bloom et al 17 and Han et al 18 with success rates of 66 and 82% respectively. Our data indicate a long-term success rate of 74% at 1 year and In the present study, 17 patients (45%) had silicone oil in situ at the time of first cyclodiode treatment, 15 (39.5%) patients had oil in situ at 1 year and 13 (34%) patients at the final follow-up visit.…”

Section: Discussionmentioning

confidence: 73%

Long-term results of the management of silicone oil-induced raised intraocular pressure by diode laser cycloablation

Ghazi-Nouri

Vakalis

Bloom

et al. 2004

Eye

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Aims/background To analyse the effectiveness and safety of cyclodiode treatment in eyes with silicone oil-related raised intraocular pressure (IOP) and to correlate the results with clinical features of treated eyes. Methods Retrospective review of case notes of all eyes that underwent cyclodiode treatment following injection of silicone oil at Moorfields Eye Hospital between April 1993 and January 2003 and were followed up for at least 1 year. Results In all, 38 patients were followed up for between 13 and 113 months. Totally, 17 had silicone oil in situ at the time of first treatment. The mean pretreatment IOP was 31.4 mmHg (SD 10.9), reducing to 18.6 mmHg (SD 8.6) at 1 year and to 13.9 mmHg (SD 8.4) at the final follow-up visit (Po0.001). Before treatment, 28 (73.7%) patients were on two or more topical medications. This was reduced to 18 (47.4%) patients (P ¼ 0.013) at 1 year and 13 (34.2%) patients (P ¼ 0.0007) at final follow-up. Use of oral acetazolamide for glaucoma was reduced from 16 (42.1%) patients precyclodiode to five (13.2%) patients at 1 year (P ¼ 0.0034) and three (7.9%) patients at the final visit (P ¼ 0.001). Four patients (10.5%) at 1 year and five patients (13.2%) at the final visit had hypotony (defined as IOP of less than 5 mmHg). One patient had enucleation 75 months following first cyclodiode treatment. Conclusion Diode laser photocoagulation can successfully control silicone oil-induced raised intraocular pressure where medical treatment fails. Reduction of IOP appears to be maintained long term.

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Section: Discussionmentioning

confidence: 73%

Long-term results of the management of silicone oil-induced raised intraocular pressure by diode laser cycloablation

Ghazi-Nouri

Vakalis

Bloom

et al. 2004

Eye

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“…Nguyen et al reported 60% success rate with Molteno implant and failure in 1 eye [106]. Inferior tube placement is preferred to prevent silicone oil blocking the tube [107]. …”

Section: Glaucoma After Retinal Surgerymentioning

confidence: 99%

Retina and glaucoma: surgical complications

et al. 2018

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BackgroundThe close structural and microcirculatory co-relation between anterior and posterior segments of eye make them very vulnerable to complications when one of them is affected surgically. With the advent of anti-fibrotic agents in the management of glaucoma, the rates of vitreoretinal complications have become more frequent. Main bodyCommon retinal complications after glaucoma surgeries include choroidal detachment; ocular decompression retinopathy; haemorrhagic choroidal detachment; hypotony maculopathy; malignant glaucoma; vitreous haemorrhage; bleb endophthalmitis; retinal detachment. Similarly, intraocular pressure rise is often noted after scleral buckle; pars plana vitrectomy; intravitreal gas injection; silicone oil injection; intravitreal steroid injection.ConclusionThe article provides some insight into some of the complications after glaucoma and retina surgeries, including the pathogenetic mechanisms behind each complication and available management options.

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“…There are several reports of intraocular silicone oil migration into the subconjunctival space [1, 2, 3, 4, 5], the orbit [5, 6, 7] and even the central nervous system [8, 9, 10, 11]. However, to our knowledge, there are only two reports, describing three cases in total, with intraocular silicone oil migration into the upper eyelid causing ptosis as a postoperative complication [12, 13].…”

Section: Introductionmentioning

confidence: 99%

Migration of Intraocular Silicone Oil from the Vitreous Cavity into the Upper Eyelid Causing Ptosis

Deguchi¹,

Maeno²,

Hori³

et al. 2014

Case Rep Ophthalmol

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Introduction: To report a case in which intraocular silicone oil migrated into the upper eyelid and caused ptosis. Methods: A 65-year-old woman presented with proliferative vitreoretinopathy in the right eye. Vitrectomies, injection of silicone oil and encircling were performed. Two months after the last operation, swelling of her right eyelid occurred. Result: Magnetic resonance imaging revealed moisture in the palpebral fat tissue. We incised the bulbar conjunctiva and confirmed silicone oil leakage from the vitreous cavity through the scleral button hole of the encircling suture. Postoperatively, the right upper eyelid swelling decreased. Histopathologically, dense macrophage infiltration was seen in the palpebral tissues. Conclusions: We report a rare case with a postoperative complication caused by silicone oil. In cases with swelling of the eyelid and decreased silicon oil in the vitreous cavity postoperatively, clinicians should consider the possibility of silicone oil leakage.

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Subconjunctival silicone oil drainage through the Molteno implant

Cited by 33 publications

References 0 publications

Long-term results of the management of silicone oil-induced raised intraocular pressure by diode laser cycloablation

Long-term results of the management of silicone oil-induced raised intraocular pressure by diode laser cycloablation

Retina and glaucoma: surgical complications

Migration of Intraocular Silicone Oil from the Vitreous Cavity into the Upper Eyelid Causing Ptosis

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