The use of Silicone Oil Following Failed Vitrectomy for Retinal Detachment with Advanced Proliferative Vitreoretinopathy
Recent reports suggest that sophisticated vitreous surgical methods allow increasing success in reattaching retinas with advanced proliferative vitreoretinopathy. By utilizing such techniques as broad scleral buckling, intra and postoperative fluid-gas exchange, and endolaser photocoagulation some surgeons now claim over 75% success in these cases. Nevertheless, a significant number of eyes still fail despite these measures (1,2). Encouraged by the work of Scott, Gonvers, Zivojnovic and others, we at Duke University have approached these failures over the past 3 years by reoperation with silicone oil (3–5). This report briefly reviews our techniques, results, and complications in these difficult cases.
KeywordsRetinal Detachment Subretinal Fluid Proliferative Vitreoretinopathy Vitreous Surgery Retinal Reattachment
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