Abstract
Heavy silicone oil tamponade is intended to be temporary, but may occasionally be indefinite in patients who refuse, or are deemed unsuitable for, further surgery. The aim of this study is to compare the outcomes of patients with temporary versus indefinite heavy silicone oil intraocular tamponade. This retrospective, comparative case series identified 75 patients who underwent heavy silicone oil instillation (Oxane HD) over a 6 year period (2006–2012) in one institution. Thirty-nine patients had temporary heavy oil tamponade and 36 patients had indefinite tamponade. The majority (68 %) of patients had a history of previous vitreoretinal surgery prior to oil instillation and 66.7 % had pre-existing proliferative vitreoretinopathy (PVR). The mean final logMAR best corrected visual acuity (BCVA) was significantly better in the temporary tamponade group (1.34 ± 0.66) than the indefinite tamponade group 1.82 ± 0.64 (p = 0.003). Ambulatory BCVA (≥4/200) was retained in 76.3 % of temporary tamponade patients versus 54.3 % of indefinite tamponade patients (p = 0.093). Successful retinal reattachment was significantly more likely in temporary tamponade patients (92.3 %) than indefinite tamponade patients (75 %; p = 0.04). Complications in the patients with indefinite heavy silicone oil tamponade included redetachment (38.9 %), corneal pathology (13.8 %), secondary glaucoma (11.1 %) and anterior segment emulsification (8.3 %).While temporary tamponade patients had better outcomes than those with indefinite tamponade, the majority of indefinite tamponade patients still retained ambulatory vision in the affected eye. Indefinite heavy silicone oil tamponade remains a viable option for those who cannot undergo removal of oil surgery.
Similar content being viewed by others
References
Wolf S, Schön V, Meier P, Wiedemann P (2003) Silicone oil-RMN3 mixture (“heavy silicone oil”) as internal tamponade for complicated retinal detachment. Retina 23(3):335–342
Gabel VP, Kampik A, Gabel C, Spiegel D (1987) Silicone oil with high specific gravity for intraocular use. Br J Ophthalmol 71(4):262–267
Gremillion CM, Peyman GA, Liu KR, Naguib KS (1990) Fluorosilicone oil in the treatment of retinal detachment. Br J Ophthalmol 74(11):643–646
Eckardt C, Schmidt D, Czank M (1990) Intraocular tolerance to silicone oils of different specific gravities. An experimental study. Ophthalmologica 201(3):133–139
Ozdek S, Yuksel N, Gurelik G, Hasanreisoglu B (2011) High-density silicone oil as an intraocular tamponade in complex retinal detachments. Can J Ophthalmol 46(1):51–55
Rizzo S, Genovesi-ebert F, Vento A, Cresti F, Di bartolo E, Belting C (2007) A new heavy silicone oil (HWS 46-3000) used as a prolonged internal tamponade agent in complicated vitreoretinal surgery: a pilot study. Retina 27(5):613–620
Heimann H, Stappler T, Wong D (2008) Heavy tamponade 1: a review of indications, use, and complications. Eye 22(10):1342–1359
Morphis G, Irigoyen C, Eleuteri A, Stappler T, Pearce I, Heimann H (2012) Retrospective review of 50 eyes with long-term silicone oil tamponade for more than 12 months. Graefes Arch Clin Exp Ophthalmol 250(5):645–652
Lucke KLH (1990) Silicone oil in the treatment of complicate dretinal detachments:techniques, results, and complications. Springer, Berlin, New York
Avery RL, Fekrat S, Hawkins BS, Bressler NM (1996) Natural history of subfoveal subretinal hemorrhage in age-related macular degeneration. Retina 16(3):183–189
Williamson TH, Shunmugam M, Rodrigues I, Dogramaci M, Lee E (2013) Characteristics of rhegmatogenous retinal detachment and their relationship to visual outcome. Eye 27(9):1063–1069
Conflict of interest
The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.
Ethical standard
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study formal consent is not required.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Dooley, I.J., Duignan, E.S. & Kilmartin, D.J. Long-term heavy silicone oil intraocular tamponade. Int Ophthalmol 36, 3–7 (2016). https://doi.org/10.1007/s10792-015-0068-4
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10792-015-0068-4