Treatment of Retinal Detachment Secondary to Macular Hole in High Myopia

Purpose. To evaluate the efficacy of silicone oil (S.O) reinjection without macular buckling for treatment of recurrent myopic macular hole retinal detachment (MHRD) after silicone oil removal. Methods. A retrospective consecutive interventional study from medical reports on cases of myopic MHRD. Fifty-three eyes of 51 patients underwent silicone oil removal after successful repair of MHRD were reviewed. The main outcomes were the retinal status after silicone oil removal and management of recurrent cases. Results. The rate of recurrent RD (Re RD) after silicone oil removal was 11.3% (6 out of 53 eyes). One case refused any other interference. In the remaining 5 eyes, 4 eyes (80%) could be reattached by S.O re-injection and one eye (20%) developed Re RD after S.O re-injection. Range of followup after management of recurrence was 5–53 months (mean 18.7 months). Conclusions. This case series concluded that the risk factors for recurrent RD after silicone oil removal from cases of myopic MHRD were high myopia, open flat MH, and large posterior staphyloma. Revision of vitrectomy and S.O re-injection can reattach most of recurrent cases.

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“…These factors were also reported by Nadal et al, 2012 [9]. Qian and Jiang, 2010 [5], reported that open MH was the main risk of recurrence.…”

Section: Discussionsupporting

confidence: 71%

“…Nadal et al, 2012 [9], reported a recurrence rate of 14.9% (4/27) under silicone oil. These 4 cases were treated by macular indentation with subsequent silicone oil removal.…”

Section: Discussionmentioning

confidence: 99%

Silicone Oil Reinjection without Macular Buckling for Treatment of Recurrent Myopic Macular Hole Retinal Detachment after Silicone Oil Removal

Ghoraba

Elgouhary

Mansour

2014

Journal of Ophthalmology

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“…The first indications were complicated retinal detachment due to PVR or viral retinitis, giant retinal tears, trauma, and severe proliferative diabetic retinopathy [21, 22]. New possible indications are now retinal detachment due to macular hole in highly myopic eye [23, 24], chronic and persistent macular hole, colobomatous retinal detachment [25], and chronic uveitis with hypotony [26]. In summary, every time a long-term tamponade is required.…”

Section: Indications For Silicone Oil Tamponadementioning

confidence: 99%

Silicone Oil: Different Physical Proprieties and Clinical Applications

Barca

Caporossi

Rizzo

2014

BioMed Research International

154

120

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Silicone oils are important tools in vitreoretinal surgery because they have the ability to displace aqueous humor from the retinal surface, maintaining the adhesion between retina and retinal pigment epithelium. To understand this capability, it is important to know the silicone oil characteristics. Herein, we report first on the main chemical-physical proprieties and then we review the clinical applications of the current silicone oil which is lighter than water with particular reference to their indications with small gauge vitrectomy. Finally, we describe the surgical techniques to inject and remove this type of silicone oil. In the summary of this paper, we explain why silicone oils are today increasingly used and why their introduction has improved the prognosis of several retinal diseases. In fact, having different types of silicone oils allows us to choose the appropriate endotamponade for every single case.

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“…Beginning from 2009 we started transconjunctival PPV (20,23,25, or a combination of them). Beginning from 2009 we started transconjunctival PPV (20,23,25, or a combination of them).…”

Section: Surgical Proceduresmentioning

confidence: 99%