Abstract
A beneficial visual outcome was achieved in 16 (38%) of 42 eyes into which silicone oil was injected after difficulties were encountered during closed microsurgery for severe diabetic retinal detachment. Without recourse to oil injection, most if not all of the eyes would have remained blind and many would have deteriorated into rubeotic glaucoma or phthisis. The main cause of failed surgery was rhegmatogenous retinal detachment associated with residual or reparative epiretinal fibrosis, and silicone oil appeared to be of value in preventing rubeosis iridis in such cases. Cataract was a significant problem in the successfully treated eyes.
Similar content being viewed by others
References
Barry PJ, Hiscott PS, Grierson I, Marshall J, McLeod D (1985) Reparative epiretinal fibrosis after diabetic vitrectomy. Trans Ophthalmol Soc UK 104: 287–298
Chang S, Coleman DJ, Lincoff H, Wilcox LM (1984) Perfluoropropane gas in the management of proliferative vitreoretinopathy. Am J Ophthalmol 98: 180–188
Cibis PA, Becker B, Okun E, Canaan S (1962) The use of liquid silicone in retinal detachment surgery. Arch Ophthalmol 68: 590–599
Gonvers M, Thresher R (1983) Temporary use of silicone oil in the treatment of proliferative vitreoretinopathy. Graefe's Arch Clin Exp Ophthalmol 221: 46–53
Lean JS, Leaver PK, Cooling RJ, McLeod D (1982) Management of complex retinal detachments by vitrectomy and fluid/silicone exchange. Trans Ophthalmol Soc UK 102: 203–205
Leaver PK, Cooling RJ, Feretis EB, Lean JS, McLeod D (1984) Vitrectomy and fluid silicone oil exchange for giant retinal breaks: results at six months. Br J Ophthalmol 68: 432–438
Scott JD (1979) A rationale for the use of liquid silicone in retinal detachment surgery. Acta XXIII Concilium Ophthalmol, part I, Kyoto 1978. Excerpta Medica, Amsterdam, pp 433–437
Scott JD (1981) Use of liquid silicone in vitrectomised eyes. Dev Ophthalmol 2: 185–190
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
McLeod, D. Silicone-oil injection during closed microsurgery for diabetic retinal detachment. Graefe's Arch Clin Exp Ophthalmol 224, 55–59 (1986). https://doi.org/10.1007/BF02144135
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF02144135