Silicon oil removed combined with external-route microsurgery for retinal detachment in silicon oil tamponaded eyes

AIM: To evaluate the efficacy of silicon oil removal combined with external-route microsurgery in treating of retinal detachment in selected eyes with silicone oil tamponaded. <p>METHODS: This was a retrospective observational case series. 21 cases(21 eyes)had undergone minimally invasive vitr...

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Main Authors: Hai-Jiang Zhang, Rong Huang, Ping Wu, Liang Liang
Format: Article
Language:English
Published: Press of International Journal of Ophthalmology (IJO PRESS) 2020-05-01
Series:Guoji Yanke Zazhi
Subjects:
Online Access:http://ies.ijo.cn/cn_publish/2020/5/202005033.pdf
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author Hai-Jiang Zhang
Rong Huang
Ping Wu
Liang Liang
author_facet Hai-Jiang Zhang
Rong Huang
Ping Wu
Liang Liang
author_sort Hai-Jiang Zhang
collection DOAJ
description AIM: To evaluate the efficacy of silicon oil removal combined with external-route microsurgery in treating of retinal detachment in selected eyes with silicone oil tamponaded. <p>METHODS: This was a retrospective observational case series. 21 cases(21 eyes)had undergone minimally invasive vitrectomy combined with silicone oil tamponade for various vitreoretinal diseases firstly. Because of retinal detachment recurrent, external-route microsurgery combined with oil extracted was performed between July 2014 and July 2018 secondly. The retinal reattachment rate, visual outcome, intraocular pressure and postoperative complications were investigated. <p>RESULTS: After 4 to 12(5.48±1.53)mo follow-up period, the retinal reattachment rate was 90%(19/21 cases). Further vitrectomy surgeries were needed for other 2 eyes. The final best corrected visual acuity(BCVA)≥0.4 was in 4 eyes, 0.06-0.3 was in 9 eyes and ≤0.05 was in 8 eyes, which had significant difference contrasted to that of preoperation(<i>t</i>=3.58, <i>P</i><0.05). Macular epiretinal membrane, second glaucoma and complicated cataracts were found in 1, 2 and 5 eyes respectively. There hadn't other serious complications postoperatively. <p>CONCLUSION: The external-route microsurgery was also suitable for retinal detachment in silicone oil filled eyes which were PVR≤C<sub>1</sub> and the roles located in the equator region or front even. This way was simple, convenient and effective. The rate of secondary vitrectomy with silicone oil tamponade also can be reduced.
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spelling doaj.art-894ae8e64acf469397d98582d65886642022-12-21T23:46:25ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232020-05-0120588889010.3980/j.issn.1672-5123.2020.5.33Silicon oil removed combined with external-route microsurgery for retinal detachment in silicon oil tamponaded eyesHai-Jiang Zhang0Rong Huang1Ping Wu2Liang Liang3The First College of Clinical Medical Science, China Three Gorges University; Institute of Ophthalmology and Visual Science, China Three Gorges University; Yichang Central People's Hospital, Yichang 443003, Hubei Province, ChinaThe First College of Clinical Medical Science, China Three Gorges University; Institute of Ophthalmology and Visual Science, China Three Gorges University; Yichang Central People's Hospital, Yichang 443003, Hubei Province, ChinaThe First College of Clinical Medical Science, China Three Gorges University; Institute of Ophthalmology and Visual Science, China Three Gorges University; Yichang Central People's Hospital, Yichang 443003, Hubei Province, ChinaThe First College of Clinical Medical Science, China Three Gorges University; Institute of Ophthalmology and Visual Science, China Three Gorges University; Yichang Central People's Hospital, Yichang 443003, Hubei Province, ChinaAIM: To evaluate the efficacy of silicon oil removal combined with external-route microsurgery in treating of retinal detachment in selected eyes with silicone oil tamponaded. <p>METHODS: This was a retrospective observational case series. 21 cases(21 eyes)had undergone minimally invasive vitrectomy combined with silicone oil tamponade for various vitreoretinal diseases firstly. Because of retinal detachment recurrent, external-route microsurgery combined with oil extracted was performed between July 2014 and July 2018 secondly. The retinal reattachment rate, visual outcome, intraocular pressure and postoperative complications were investigated. <p>RESULTS: After 4 to 12(5.48±1.53)mo follow-up period, the retinal reattachment rate was 90%(19/21 cases). Further vitrectomy surgeries were needed for other 2 eyes. The final best corrected visual acuity(BCVA)≥0.4 was in 4 eyes, 0.06-0.3 was in 9 eyes and ≤0.05 was in 8 eyes, which had significant difference contrasted to that of preoperation(<i>t</i>=3.58, <i>P</i><0.05). Macular epiretinal membrane, second glaucoma and complicated cataracts were found in 1, 2 and 5 eyes respectively. There hadn't other serious complications postoperatively. <p>CONCLUSION: The external-route microsurgery was also suitable for retinal detachment in silicone oil filled eyes which were PVR≤C<sub>1</sub> and the roles located in the equator region or front even. This way was simple, convenient and effective. The rate of secondary vitrectomy with silicone oil tamponade also can be reduced.http://ies.ijo.cn/cn_publish/2020/5/202005033.pdfsilicon oil tamponaded eyesretinal detachmentvitrectomymicrosurgeryscleral buckling
spellingShingle Hai-Jiang Zhang
Rong Huang
Ping Wu
Liang Liang
Silicon oil removed combined with external-route microsurgery for retinal detachment in silicon oil tamponaded eyes
Guoji Yanke Zazhi
silicon oil tamponaded eyes
retinal detachment
vitrectomy
microsurgery
scleral buckling
title Silicon oil removed combined with external-route microsurgery for retinal detachment in silicon oil tamponaded eyes
title_full Silicon oil removed combined with external-route microsurgery for retinal detachment in silicon oil tamponaded eyes
title_fullStr Silicon oil removed combined with external-route microsurgery for retinal detachment in silicon oil tamponaded eyes
title_full_unstemmed Silicon oil removed combined with external-route microsurgery for retinal detachment in silicon oil tamponaded eyes
title_short Silicon oil removed combined with external-route microsurgery for retinal detachment in silicon oil tamponaded eyes
title_sort silicon oil removed combined with external route microsurgery for retinal detachment in silicon oil tamponaded eyes
topic silicon oil tamponaded eyes
retinal detachment
vitrectomy
microsurgery
scleral buckling
url http://ies.ijo.cn/cn_publish/2020/5/202005033.pdf
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AT pingwu siliconoilremovedcombinedwithexternalroutemicrosurgeryforretinaldetachmentinsiliconoiltamponadedeyes
AT liangliang siliconoilremovedcombinedwithexternalroutemicrosurgeryforretinaldetachmentinsiliconoiltamponadedeyes