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Vitrectomy and fluid/silicone-oil exchange for giant retinal tears: 5 years follow-up

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Abstract

A series of 64 eyes, in 64 patients with giant retinal tears, treated by vitrectomy and fluid/silicone-oil exchange, has been reviewed after 5 years. Anatomical success was achieved in 73% of cases and visual function in successful cases ranged from 6/6 to NPL; 66% achieved acuities of 6/60 or better and 32% had vision of 6/18 or better. These results compare favourably with those in a previous series reported after 6 months and 18 months. Epiretinal membrane proliferation and shortening accounted for the majority of retinal redetachments while macular abnormalities, especially pucker, were responsible for a poor visual outcome. Glaucoma is the most serious long-term complication of the surgical method and occurs most frequently in aphakic eyes. Retention of the crystalline lens, whenever possible, the creation of a 6 o'clock iridectomy in aphakic eyes, early removal of silicone oil and a conservative approach to the use of scleral buckles are recommended.

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References

  1. Ando F (1985) Intraocular hypertension resulting from pupillary block by silicone oil. Am J Ophthalmol 99: 87–88

    Google Scholar 

  2. Billington BM, Leaver PK (1986) Vitrectomy and fluid/silicone-oil exchange for giant retinal tears: results at 18 months. Graefe's Arch Clin Exp Ophthalmol 224: 7–10

    Google Scholar 

  3. Freeman HM, Castillejos ME (1981) Current management of giant retinal breaks: results with vitrectomy and total air fluid exchange in 95 cases. Trans Am Ophthalmol Soc 79: 89–120

    Google Scholar 

  4. Gonvers M (1983) Temporary use of silicone oil in the treatment of special cases of retinal detachment. Ophthalmologica 187: 202–209

    Google Scholar 

  5. Haut J, Chermet M, Van Effenterre G, Robert P (1980) Techniques et resultats de l'injection de silicone liquide combinée a vitrectomie dans le traitement des inversions retiniennes. Bull Soc Ophthalmol Fr 80: 517

    Google Scholar 

  6. Heimann K, Dimopoulos S, Paulmann H (1984) Silikonolinjektion in der Behandlung komplizierter Netzhautablosungen. Klin Monatsbl Augenheilkd 185: 505

    Google Scholar 

  7. Hoffman ME, Sorr EM (1986) Management of giant retinal tears without scleral buckling. Retina 6: 197–204

    Google Scholar 

  8. Kao GW, Peyman GA (1986) Penetrating diathermy for retinal microincarceration in the management of giant retinal tears with inverted flaps. Retina 6: 135–145

    Google Scholar 

  9. Laqua H, Herwig M, Wessing A, Meyer-Schwickerath G (1982) Silikon-Ol-Injektion zur Behandlung komplizierter Netzhautablosungen. Fortschr Ophthalmol 79: 233

    Google Scholar 

  10. Leaver PK, Cooling RJ, Feretis EB (1984) Vitrectomy and fluid/silicone-oil exchange for giant retinal tears: results at six months. Br J Ophthalmol 68: 432–438

    Google Scholar 

  11. Lewis JS, McCuen BW, Tiedeman JS, Awan KJ (1985) Current views on giant retinal tears. Pak J Ophthalmol 1: 215–221

    Google Scholar 

  12. Lucke KH, Foerster MH, Laqua H (1987) Long-term results of vitrectomy and silicone oil in 500 cases of complicated retinal detachments. Am J Ophthalmol 104: 624–633

    Google Scholar 

  13. Machemer R, Allen AW (1976) Retinal tears 180 degrees and greater: management with vitrectomy and intravitreal gas. Arch Ophthalmol 94: 1340–1346

    Google Scholar 

  14. Michels RG, Rice TA, Blankenship G (1983) Surgical techniques for selected giant retinal tears. Retina 3: 139–153

    Google Scholar 

  15. Scott JD (1981) Use of liquid silicone in vitrectomised eyes. Dev Ophthalmol 2: 185–190

    Google Scholar 

  16. Vidaurri-Leal J, De Bustros S, Michels RG (1984) Surgical treatment of giant retinal tears with inverted posterior retinal flaps. Am J Ophthalmol 98: 463–466

    Google Scholar 

  17. Zivojnovic R, Mertens DAE, Peperkamp E (1982) Das flussige Silikon in der Amotiochirurgie (II). Bericht uber 280 Falle — weitere Entwicklung der Technik. Klin Monatsbl Augenheilkd 181: 444

    Google Scholar 

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Authors and Affiliations

  1. Moorfields Eye Hospital, City Road, EC1V 2PD, London, United Kingdom

    Peter K. Leaver & Brenda M. Billington

Authors
  1. Peter K. Leaver
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  2. Brenda M. Billington
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Presented at the XVIth Meeting of the Club Jules Gonin, Bruges, 4–8 September 1988

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Leaver, P.K., Billington, B.M. Vitrectomy and fluid/silicone-oil exchange for giant retinal tears: 5 years follow-up. Graefe's Arch Clin Exp Ophthalmol 227, 323–327 (1989). https://doi.org/10.1007/BF02169405

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  • DOI: https://doi.org/10.1007/BF02169405

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