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The use of silicone oil following failed vitrectomy for retinal detachment with advanced proliferative vitreoretinopathy

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Abstract

We have used silicone-oil injection in a consecutive series of 44 patients with retinal detachment and advanced proliferative vitreoretinopathy, all of whom had previously failed to reattach with vitrectomy, membrane peeling, and scleral buckling. After a minimal follow-up period of 6 months, complete anatomic retinal reattachment posterior to the encircling scleral buckle was obtained in 64% of these eyes. Ambulatory visual acuity (5/200 or better) was achieved in 57% of the anatomically successful cases. Silicone-oil removal was performed in 69% of the anatomically and visually successful eyes without recurrent retinal detachment. Because of the frequent and severe complications associated with the use of silicone oil, we recommend that silicone-oil injection be considered only when conventional vitreoretinal techniques have failed to achieve retinal reattachment.

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Authors and Affiliations

  1. Duke University Eye Center, Box 3802, 27710, Durham, NC, USA

    B. W. McCuen, M. B. Landers & R. Machemer

Authors
  1. B. W. McCuen
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  2. M. B. Landers
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  3. R. Machemer
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Additional information

Supported by National Eye Institute Grant EY02903 and the Helena Rubinstein Foundation

Presented at the 1984 meeting of the Club Jules Gonin in Lausanne, Switzerland

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McCuen, B.W., Landers, M.B. & Machemer, R. The use of silicone oil following failed vitrectomy for retinal detachment with advanced proliferative vitreoretinopathy. Graefe's Arch Clin Exp Ophthalmol 224, 38–39 (1986). https://doi.org/10.1007/BF02144131

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  • DOI: https://doi.org/10.1007/BF02144131

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