Evaluation of the Effects of Silicone Oil on the Macula with Optical Coherence Tomography in Patients with Rhegmatogenous Retinal Detachment
Objectives:The effects of silicone endotamponade duration on the macula were evaluated in patients with rhegmatogenous retinal detachment.Materials and Methods:Sixty-five eyes of 65 cases with rhegmatogenous retinal detachment that underwent pars plana vitrectomy and silicone endotamponade were incl...
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| Format: | Article |
| Language: | English |
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Galenos Yayinevi
2021-08-01
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| Series: | Türk Oftalmoloji Dergisi |
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http://www.oftalmoloji.org/archives/archive-detail/article-preview/evaluation-of-the-effects-of-silicone-oil-on-the-m/48753
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| _version_ | 1797918989885636608 |
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| author | Duygu Er Hakan Öner Mahmut Kaya Oya Dönmez |
| author_facet | Duygu Er Hakan Öner Mahmut Kaya Oya Dönmez |
| author_sort | Duygu Er |
| collection | DOAJ |
| description | Objectives:The effects of silicone endotamponade duration on the macula were evaluated in patients with rhegmatogenous retinal detachment.Materials and Methods:Sixty-five eyes of 65 cases with rhegmatogenous retinal detachment that underwent pars plana vitrectomy and silicone endotamponade were included in the study. All cases were classified in three groups according to duration of silicone tamponade: ≤3 months, 3-6 months, and ≥6 months. All cases were evaluated at 1 week, 1 month, and 3 months after silicone injection, just before and at 1 month after silicone removal in terms of intraretinal pathologies in the macula by using spectral-domain optical coherence tomography (SD-OCT).Results:Sixteen (26.6%) of the patients were female and 49 (75.4%) were male. The mean age of the patients was 58.1±12.1 years (18-82); the mean follow-up time was 12.4±4 months (6-20). The mean duration of silicone tamponade was 6.7±2.3 months (2-12). In 26.6% of patients with ellipsoid zone/outer limiting membrane defect, a statistically significant improvement in reflectivity was detected after silicone oil removal (p=0.016). There was a significant increase in central foveal thickness after silicone removal in eyes with duration of silicone more than 3 months (p=0.003 for 3-6 months, p=0.006 for ≥6 months). The prevalence of cystoid macular edema before and after silicone removal was also significantly higher in the eyes with silicone duration of 6 months or longer (p<0.001).Conclusion:In eyes with silicone endotamponade, structural changes in the macula may differ according to the duration of silicone oil in the eye. |
| first_indexed | 2024-04-10T13:38:16Z |
| format | Article |
| id | doaj.art-ca5862a7050c4bfaa81c4a4d5a42411f |
| institution | Directory Open Access Journal |
| issn | 1300-0659 2147-2661 |
| language | English |
| last_indexed | 2024-04-10T13:38:16Z |
| publishDate | 2021-08-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Türk Oftalmoloji Dergisi |
| spelling | doaj.art-ca5862a7050c4bfaa81c4a4d5a42411f2023-02-15T16:11:19ZengGalenos YayineviTürk Oftalmoloji Dergisi1300-06592147-26612021-08-0151421822410.4274/tjo.galenos.2020.4837613049054Evaluation of the Effects of Silicone Oil on the Macula with Optical Coherence Tomography in Patients with Rhegmatogenous Retinal DetachmentDuygu Er0Hakan Öner1Mahmut Kaya2Oya Dönmez3 Sağlık Bilimleri Üniversitesi, Dr. Abdurrahman Yurtaslan Ankara Onkoloji Eğitim ve Araştırma Hastanesi, Ankara, Türkiye Dokuz Eylül Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İzmir, Türkiye Dokuz Eylül Üniversitesi Tıp Fakültesi, Göz Hastalıkları Anabilim Dalı, İzmir, Türkiye Özel Tınaztepe Galen Hastanesi, İzmir, Türkiye Objectives:The effects of silicone endotamponade duration on the macula were evaluated in patients with rhegmatogenous retinal detachment.Materials and Methods:Sixty-five eyes of 65 cases with rhegmatogenous retinal detachment that underwent pars plana vitrectomy and silicone endotamponade were included in the study. All cases were classified in three groups according to duration of silicone tamponade: ≤3 months, 3-6 months, and ≥6 months. All cases were evaluated at 1 week, 1 month, and 3 months after silicone injection, just before and at 1 month after silicone removal in terms of intraretinal pathologies in the macula by using spectral-domain optical coherence tomography (SD-OCT).Results:Sixteen (26.6%) of the patients were female and 49 (75.4%) were male. The mean age of the patients was 58.1±12.1 years (18-82); the mean follow-up time was 12.4±4 months (6-20). The mean duration of silicone tamponade was 6.7±2.3 months (2-12). In 26.6% of patients with ellipsoid zone/outer limiting membrane defect, a statistically significant improvement in reflectivity was detected after silicone oil removal (p=0.016). There was a significant increase in central foveal thickness after silicone removal in eyes with duration of silicone more than 3 months (p=0.003 for 3-6 months, p=0.006 for ≥6 months). The prevalence of cystoid macular edema before and after silicone removal was also significantly higher in the eyes with silicone duration of 6 months or longer (p<0.001).Conclusion:In eyes with silicone endotamponade, structural changes in the macula may differ according to the duration of silicone oil in the eye. http://www.oftalmoloji.org/archives/archive-detail/article-preview/evaluation-of-the-effects-of-silicone-oil-on-the-m/48753 maculaoptical coherence tomographypars plana vitrectomyrhegmatogenous retinal detachmentsilicone oil |
| spellingShingle | Duygu Er Hakan Öner Mahmut Kaya Oya Dönmez Evaluation of the Effects of Silicone Oil on the Macula with Optical Coherence Tomography in Patients with Rhegmatogenous Retinal Detachment Türk Oftalmoloji Dergisi macula optical coherence tomography pars plana vitrectomy rhegmatogenous retinal detachment silicone oil |
| title | Evaluation of the Effects of Silicone Oil on the Macula with Optical Coherence Tomography in Patients with Rhegmatogenous Retinal Detachment |
| title_full | Evaluation of the Effects of Silicone Oil on the Macula with Optical Coherence Tomography in Patients with Rhegmatogenous Retinal Detachment |
| title_fullStr | Evaluation of the Effects of Silicone Oil on the Macula with Optical Coherence Tomography in Patients with Rhegmatogenous Retinal Detachment |
| title_full_unstemmed | Evaluation of the Effects of Silicone Oil on the Macula with Optical Coherence Tomography in Patients with Rhegmatogenous Retinal Detachment |
| title_short | Evaluation of the Effects of Silicone Oil on the Macula with Optical Coherence Tomography in Patients with Rhegmatogenous Retinal Detachment |
| title_sort | evaluation of the effects of silicone oil on the macula with optical coherence tomography in patients with rhegmatogenous retinal detachment |
| topic | macula optical coherence tomography pars plana vitrectomy rhegmatogenous retinal detachment silicone oil |
| url |
http://www.oftalmoloji.org/archives/archive-detail/article-preview/evaluation-of-the-effects-of-silicone-oil-on-the-m/48753
|
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