Abstract
Complicated retinal detachments in 99 eyes were successfully managed by intraocular injections of silicone oil with or without pars plana vitrectomy. The silicone was then subsequently removed after panretinal photocoagulation. Any remaining anterior vitreous cortex near the vitreous base and/or preretinal proliferative tissue causing traction of the retina was also removed by a vitrectome or extracted by a hooked needle after the silicone-fluid exchange had been performed. The preretinal proliferation occurred in some cases even after silicone oil had been removed. Recurrent detachments were discovered in 8 of the 99 eyes and were managed successfully by reinjections of the silicone. Other silicone reinjections were required in two eyes with diabetic retinopathy and two nondiabetic eyes because of frequent rebleeding into the vitreous cavity.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Ando F (1985a) Intraocular hypertension resulting from pupillary block by silicone oil. Am J Ophthalmol 99: 87–88
Ando F (1985b) Complications of intraocular silicone and their possible treatment. Proceedings of the 88th Japanese Ophthalmology Congress, Sendai 1984. Excerpta Medica, Amsterdam (in press)
Ando F, Miyake Y (1983) Silicone oil injection in the treatment of complicated retinal detachment. Jpn J Clin Ophthalmol 37: 56–60
Cibis PA, Becker B, Okun F, Canaan S (1962) The use of liquid silicone in retinal detachment surgery. Arch Ophthalmol 68: 590–599
Gonvers M (1982) Temporary use of intraocular silicone oil in the treatment of detachment with massive periretinal proliferation. Preliminary report. Ophthalmologica 184: 210–218
Grey RHB, Leaver PK (1979) Silicone oil in the treatment of massive preretinal retraction. I. Results in 105 eyes. Br J Ophthalmol 63: 355–360
Haut J, Ullern M, Chermet M, Effenterre GV (1980) Complications of intraocular injections of silicone combined with vitrectomy. Ophthalmologica 180: 29–35
Leaver PK, Grey RHB, Garner A (1979) Silicone oil injection in the treatment of massive preretinal retraction. II. Late complications in 93 eyes. Br J Ophthalmol 63: 361–367
Okun E (1976) The current status of silicone oil (analysis of long-term successes). In: Irvine AR, O'Malley C (eds) Advances in vitreous surgery. Charles C Thomas, Springfield, pp 518–522
Scott JD (1979) A rationale for the use of liquid silicone in retinal detachment surgery. In: Shimizu K, Oosterhuis AJ (eds) XXIII Concilium Ophthalmologicum, Kyoto, 1978. Excerpta Medica, Amsterdam, pp 433–437
Zauberman H, Rosell FG (1975) Treatment of retinal detachment without including chorioretinal lesions. Trans Am Acad Ophthalmol Otolaryngol 79: 835–844
Zivojnovic R, Mertens DAE, Baarsma GS (1981) Das flüssige Silikon in der Amotio-chirurgie. Bericht über 90 Fälle. Klin Monatsbl Augenheilkd 179: 17–22
Zivojnovic R, Mertens DAE, Peperkamp E (1982) Das flüssige Silikon in der Amotiochirurgie. II. Bericht über 280 Fälle — weitere Entwicklung der Technik. Klin Monatsbl Augenheilkd 181: 444–452
Author information
Authors and Affiliations
Additional information
Presented at the 1984 meeting of the Club Jules Gonin in Lausanne, Switzerland
Rights and permissions
About this article
Cite this article
Ando, F., Miyake, Y., Oshima, K. et al. Temporary use of intraocular silicone oil in the treatment of complicated retinal detachment. Graefe's Arch Clin Exp Ophthalmol 224, 32–33 (1986). https://doi.org/10.1007/BF02144129
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02144129