Abstract
The purpose of this study was to investigate the incidence and risk factors associated with retinal redetachment after silicone oil (SO) removal in the African population. A retrospective cohort study was performed on patients undergoing SO removal over a period of 4 years. The risk factors assessed were (1) characteristics of the retinal detachments including type of retinal detachment, type, number and location of the retinal tears, and proliferative vitreoretinopathy (PVR) score, and (2) surgical factors including type of silicone oil used, use of laser prior to SO removal, and location of the laser (360° or around the tear only). SO was removed either through a pars plana approach or transpupillary approach and anterior limbal incision. Ninety-nine eyes met the inclusion criteria during the study period. Twelve patients (12 %) had retinal redetachment after SO removal. Factors associated with redetachment were a preexisting macular hole, PVR grade B or worse, and no intraoperative endolaser photocoagulation. The incidence of redetachment in African population is similar to that reported from developed countries and other advanced vitreoretinal centers. Redetachment occurred at higher rates in patients with preexisting macular holes and tears who did not receive intraoperative endolaser photocoagulation and patients with a severe grade of PVR.
Similar content being viewed by others
References
McCuen BW 2nd, Landers MB 3rd, Machemer R (1985) The use of silicone oil following failed vitrectomy for retinal detachment with advanced proliferative vitreoretinopathy. Ophthalmology 92(8):1029–1034
Gonvers M (1985) Temporary silicone oil tamponade in the management of retinal detachment with proliferative vitreoretinopathy. Am J Ophthalmol 100(2):239–245
Laqua H, Lucke K, Foerster M (1987) Results of silicone oil surgery. Jpn J Ophthalmol 31(1):124–131
Yeo JH, Glaser BM, Michels RG (1987) Silicone oil in the treatment of complicated retinal detachments. Ophthalmology 94(9):1109–1113
Moisseiev E, Ohana O, Gershovitch L, Barak A (2013) Visual prognosis and complications following silicone oil removal. Eur J Ophthalmol 23(2):236–241
Biswas J, Verma A, Davda MD, Ahuja S, Pushparaj V (2008) Intraocular tissue migration of silicone oil after silicone oil tamponade: a histopathological study of enucleated silicone oil-filled eyes. Indian J Ophthalmol 56(5):425–428
Jonas JB, Knorr HL, Rank RM, Budde WM (2001) Retinal redetachment after removal of intraocular silicone oil tamponade. Br J Ophthalmol 85(10):1203–1207
Choudhary MM, Choudhary MM, Saeed MU, Ali A (2012) Removal of silicone oil: prognostic factors and incidence of retinal redetachment. Retina 32(10):2034–2038
Falkner CI, Binder S, Kruger A (2001) Outcome after silicone oil removal. Br J Ophthalmol 85(11):1324–1327
Tan HS, Dell’omo R, Mura M (2012) Silicone oil removal after rhegmatogenous retinal detachment: comparing techniques. Eye 26(3):444–447
Nagpal MP, Videkar RP, Nagpal KM (2012) Factors having implications on re-retinal detachments after silicone oil removal. Indian J Ophthalmol 60(6):517–520
Lam RF, Cheung BT, Yuen CY, Wong D, Lam DS, Lai WW (2008) Retinal redetachment after silicone oil removal in proliferative vitreoretinopathy: a prognostic factor analysis. Am J Ophthalmol 145(3):527–533
Retina Society Terminology Committee (1983) The classification of retinal detachment with proliferative vitreoretinopathy. Ophthalmology 90(2):121–125
WorldHealthOrganization (2007) Global initiative for the elimination of avoidable blindness: action plan 2006–2011. World Health Organisation, Geneva
Hutton WL, Azen SP, Blumenkranz MS, Lai MY, McCuen BW, Han DP et al (1994) The effects of silicone oil removal. Silicone study report 6. Arch Ophthalmol 112(6):778–785
Asaminew T, Gelaw Y, Bekele S, Solomon B (2013) Retinal detachment in southwest Ethiopia: a hospital based prospective study. PLoS One 8(9):e75693
Yorston DB, Wood ML, Gilbert C (2002) Retinal detachment in East Africa. Ophthalmology 109(12):2279–2283
Rowe JA, Erie JC, Baratz KH, Hodge DO, Gray DT, Butterfield L et al (1999) Retinal detachment in Olmsted County, Minnesota, 1976 through 1995. Ophthalmology 106(1):154–159
Krohn J, Seland JH (2000) Simultaneous, bilateral rhegmatogenous retinal detachment. Acta Ophthalmol Scand 78(3):354–358
Yorston D, Jalali S (2002) Retinal detachment in developing countries. Eye 16(4):353–358
Sullivan PM, Luff AJ, Aylward GW (1997) Results of primary retinal reattachment surgery: a prospective audit. Eye 11(Pt 6):869–871
Soheilian M, Mazareei M, Mohammadpour M, Rahmani B (2006) Comparison of silicon oil removal with various viscosities after complex retinal detachment surgery. BMC Ophthalmol 6:21
Avitabile T, Longo A, Lentini G, Reibaldi A (2008) Retinal detachment after silicone oil removal is prevented by 360 degrees laser treatment. Br J Ophthalmol 92(11):1479–1482
Laidlaw DA, Karia N, Bunce C, Aylward GW, Gregor ZJ (2002) Is prophylactic 360-degree laser retinopexy protective? Risk factors for retinal redetachment after removal of silicone oil. Ophthalmology 109(1):153–158
Koh HJ, Cheng L, Kosobucki B, Freeman WR (2007) Prophylactic intraoperative 360 degrees laser retinopexy for prevention of retinal detachment. Retina 27(6):744–749
Ghoraba HH, Elgouhary SM, Mansour HO (2014) Silicone oil reinjection without macular buckling for treatment of recurrent myopic macular hole retinal detachment after silicone oil removal. J Ophthalmol 2014:434272
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Dhalla, K., Kapesa, I. & Odouard, C. Incidence and risk factors associated with retinal redetachment after silicone oil removal in the African population. Int Ophthalmol 37, 583–589 (2017). https://doi.org/10.1007/s10792-016-0309-1
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10792-016-0309-1