Intraocular
Silicone Oil in the Management of Complex Rhegmatogenous Retinal Detachment
Anan Sirimongkolkasem,
M.D.
Lertrit Chongmankongcheep,
M.D.
Tiam Lawtiantong, M.D.
Department
of Ophthalmology, Ramathibodi Hospital, Mahidol University, 10400
Excerpt from
the article
INTRODUCTION
Silicone
oil surgery was discontinued soon after its introduction for complicated
retinal detachement by Cibis and associates in 1962, when anatomical
and functional results were not as good as expected and severe complications
caused many of the succesfully treated eyes to deteriorate. When
Scott propagated the use of silicone oil again in the late 1970,
serveral centers in Europe began to reevaluate the substance. Modern techniques
combining vitrectomy and membrane peeling with silicone oil injection have
produced encouraging results in complex retinal detachments.We report
herein our results in 27 eyes managed with vitrectomy and intraocular tamponade
with silicone oil in complex rhegmatogenous retinal detachments.
MATERIALS AND METHODS
Twenty
seven eyes of 27 patients were entered into this study These included four
females and 23 males. The age ranged from four years to 64 years. The follow-up
period ranged from 6 to 24 months.All
patients had retinal detachments secondary to proliferative vitreoretinopathy
(PVR) grade C3 -D3 accord ing to The Retina Society
classification. Any patient who had previous penetrating trauma
or suffered from pro liferative diabetic retinopathy was excluded. Nine
patients had previous vitreoretinal surgical procedured and had de veloped
reproliferation or redetachment were included in the study. All patients
were followed for a minimum of six months.
The surgical
approach consisted of lensectomy and capsulectomy in case of cataract. An
inferior peripheral iridectomy was performed when the eye was aphakic. Vitrectomy
and removal of epiretinal membrane were performed to relieve the contraction.
A broad scleral buckle as an encirclement was usually employed.
Thai J Ophthalmol 1989; 3(1): 17
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