International Ophthalmology

, Volume 25, Issue 1, pp 33–36 | Cite as

Outcome of Complex Retinal Detachment Surgery after Silicone Oil Removal

  • Nurten Ünlü
  • Hülya Kocaoğlan
  • Mehmet A. Acar
  • Müge Sargin
  • Bekir S. Aslan
  • Sunay Duman


Background and objective: To evaluate anatomical prognosis after silicone oil removal.Patients and methods: Sixty-eight eyes which underwent silicone oil removal were enrolled into the study. The underlying ocular pathology for pars plana vitrectomy, surgical methods, and time of silicone oil removal were analysed.Results: Sixteen of 68 eyes (23.5%) redetached following the removal of silicone oil. According to etiology redetachment rates: PVR C 9.5% (2/21), PVR D 25% (4/16), trauma without intraocular foreign body 27.3% (3/11), with intraocular foreign body 33.3% (2/6), giant retinal tear 37.5% (3/8), and proliferative diabetic retinopathy with tractional retinal detachment 33.3% (2/6). The rate of redetachment was 22% in patients with encircling band and 27.8% without encircling band. Retina was redetached in the first 10 days in 81.3% of patients after silicone oil removal.Conclusion: The residual vitreoretinal traction especially at the vitreous base is the most likely reason for retinal redetachment after silicone oil removal, which is most commonly seen during the first 10 days.

recurrent retinal detachment risk factors silicone oil removal 


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Silicone Study Group.Vitrectomy with silicone oil or sulfur hexafluoride gas in eyes with severe proliferative vitreoretinopathy: results of a randomised clinical trial. Silicone Study Report 1. Arch Ophthalmol 1992; 110: 770–779.Google Scholar
  2. 2.
    Silicone Study Group. Vitrectomy with silicone oil or per-fluoropropane gas in eyes with severe proliferative vitreoretinopathy: results of a randomised clinical trial. Silicone Study Report 2. Arch Ophthalmol 1992; 110: 780–792.Google Scholar
  3. 3.
    Yeo JH, Glaser BM, Michels RG. Silicone oil in treatment of complicated retinal detachment. Ophthalmology 1987; 94: 1109–1113.Google Scholar
  4. 4.
    Moisseiev J, Barak A, Manaim T, Treister G. Removal of silicone oil in the management of glaucoma in eyes with emulsified silicone. Retina 1993; 13: 290–295.Google Scholar
  5. 5.
    Casswell AG, Gregor ZJ. Silicone oil removal. I. The effect on the complications of silicone oil. Br J Ophthalmol 1987; 71: 893–897.Google Scholar
  6. 6.
    Casswell AG, Gregor ZJ. Silicone oil removal. II. Operative and postoperative complications. Br J Ophthalmol 1987; 71: 898–902.Google Scholar
  7. 7.
    Hutton WL, Azen SP, Blumenkranz MS, Lai MY, McCuen BW, Han DP et al. The effects of silicone oil removal. Silicone Study Report 6. Arch Ophthalmol 1994; 112: 778–785.Google Scholar
  8. 8.
    Bassat IB, Desatnik H, Alhalel A, Treister G, Moisseiev J. Reduced rate of retinal detachment following silicone oil removal. Retina 2000; 20: 597–603.Google Scholar
  9. 9.
    Zilis JD, McCuen II BW, de Juan E, Stefansson E, Machemer R. Results of silicone oil removal in advanced proliferative vitreoretinopathy. Am J Ophthalmol 1989; 108: 15–21.Google Scholar
  10. 10.
    Franks WA, Leaver PK. Removal of silicone oil: rewards and penalties. Eye 1991; 5: 333–337.Google Scholar
  11. 11.
    Kampik A, Hoing C, Heidenkummer HP. Problems and timing in removal of silicone oil. Retina 1992; 12 (3 supp): 11S-16S.Google Scholar
  12. 12.
    Lesnoni G, Rossi T, Nistri A, Boccassini B. Long-term prognosis after removal of silicone oil. Eur J Ophthalmol 2000; 10: 60–65.Google Scholar
  13. 13.
    Jonas JB, Budde WM, Knorr HLJ. Timing of retinal redetachment after removal of intraocular silicone oil tamponade. Am J Ophthalmol 1999; 128: 628–631.Google Scholar
  14. 14.
    Scholda C, Egger S, Lakits A, Haddad R. Silicone oil removal: results, risks and complications. Acta Ophthalmol Scand 1997; 75: 695–659.Google Scholar
  15. 15.
    Jonas BJ, Budde WM, Panda-Jonas S. Cataract surgery combined with transpupillary silicone oil removal through planned posterior capsulotomy. Ophthalmology 1998; 105: 1234–1237, discussion 1237–1238.Google Scholar
  16. 16.
    Scholda C, Egger S, Lakits A, Walch K, Eckardstein E, Biowski R. Retinal detachment after silicone oil removal. Acta Ophthalmol Scand 2000; 78: 182–186.Google Scholar
  17. 17.
    Feron EJ, Veckeneer M, Parys-Van Ginderdeuren R, Van Lommel A, Melles GR, Stalmans P. Trypan blue staining of epiretinal membranes in proliferative vitreoretinopathy. Arch Ophthalmol 2002; 120: 141–144.Google Scholar
  18. 18.
    Larkin GB, Flaxel CJ, Leaver PK. Phacoemulsification and silicone oil removal through single corneal incision [see comments]. Ophthalmology 1998; 105: 2023–2027. Comment in: Ophthalmology 1999; 106: 1234–1235, discussion 1236. Comment in: Ophthalmology 1999; 106: 1235, discussion 1236.Google Scholar

Copyright information

© Kluwer Academic Publishers 2004

Authors and Affiliations

  • Nurten Ünlü
    • 1
  • Hülya Kocaoğlan
    • 1
  • Mehmet A. Acar
    • 1
  • Müge Sargin
    • 1
  • Bekir S. Aslan
    • 1
  • Sunay Duman
    • 1
  1. 1.Ophthalmology DepartmentAnkara Training and Research HospitalAnkaraTurkey

Personalised recommendations