Ratios for double silicone oil Endotamponade – in vitro observations may assist with ratio selection
Abstract Background Silicone oil tamponade is more frequently reserved for cases of complex retinal detachment. We describe the effects of different variations in oil ratios with the relatively unknown technique of double oil tamponade. Methods Retrospective case note review of nine patients with co...
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| Format: | Article |
| Language: | English |
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BMC
2017-12-01
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| Series: | BMC Ophthalmology |
| Subjects: | |
| Online Access: | http://link.springer.com/article/10.1186/s12886-017-0660-7 |
| _version_ | 1818518008895635456 |
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| author | Cheryl MacGregor Abigail Jonas Abdul Hanifudin Jonathan Lochhead |
| author_facet | Cheryl MacGregor Abigail Jonas Abdul Hanifudin Jonathan Lochhead |
| author_sort | Cheryl MacGregor |
| collection | DOAJ |
| description | Abstract Background Silicone oil tamponade is more frequently reserved for cases of complex retinal detachment. We describe the effects of different variations in oil ratios with the relatively unknown technique of double oil tamponade. Methods Retrospective case note review of nine patients with complex rhegmatogenous retinal detachment (RD). All cases had both superior and inferior breaks, mostly with associated proliferative vitreoretinopathy (PVR). All cases were treated with pars plana vitrectomy (PPV) and a double silicone oil endotamponade (DSOE) of both heavy silicone oil and conventional ‘light’ silicone oil. Ratios were varied to suit different RD configurations. In vitro observations were studied to help direct these decisions. Results Anatomical success was achieved in all cases. Common complications were the same as those seen in single oil tamponade (elevated intraocular pressure, cystoid macular oedema (CMO), cataract and posterior capsule opacification. No single case of recurrent RD was seen whilst mixed oil remained in situ. Conclusions Double silicone oil endotamponade is a safe and effective treatment for complex retinal detachments with superior and inferior breaks. Differences in oil ratios can be tailored to best fit the distribution of retinal pathology. In vitro observations may help to inform these choices. |
| first_indexed | 2024-12-11T01:04:12Z |
| format | Article |
| id | doaj.art-eba421559b03435490784dc69567d1c9 |
| institution | Directory Open Access Journal |
| issn | 1471-2415 |
| language | English |
| last_indexed | 2024-12-11T01:04:12Z |
| publishDate | 2017-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Ophthalmology |
| spelling | doaj.art-eba421559b03435490784dc69567d1c92022-12-22T01:26:14ZengBMCBMC Ophthalmology1471-24152017-12-011711410.1186/s12886-017-0660-7Ratios for double silicone oil Endotamponade – in vitro observations may assist with ratio selectionCheryl MacGregor0Abigail Jonas1Abdul Hanifudin2Jonathan Lochhead3Ophthalmology Department, St Mary’s HospitalRoyal Bournemouth HospitalSouthampton University HospitalOphthalmology Department, St Mary’s HospitalAbstract Background Silicone oil tamponade is more frequently reserved for cases of complex retinal detachment. We describe the effects of different variations in oil ratios with the relatively unknown technique of double oil tamponade. Methods Retrospective case note review of nine patients with complex rhegmatogenous retinal detachment (RD). All cases had both superior and inferior breaks, mostly with associated proliferative vitreoretinopathy (PVR). All cases were treated with pars plana vitrectomy (PPV) and a double silicone oil endotamponade (DSOE) of both heavy silicone oil and conventional ‘light’ silicone oil. Ratios were varied to suit different RD configurations. In vitro observations were studied to help direct these decisions. Results Anatomical success was achieved in all cases. Common complications were the same as those seen in single oil tamponade (elevated intraocular pressure, cystoid macular oedema (CMO), cataract and posterior capsule opacification. No single case of recurrent RD was seen whilst mixed oil remained in situ. Conclusions Double silicone oil endotamponade is a safe and effective treatment for complex retinal detachments with superior and inferior breaks. Differences in oil ratios can be tailored to best fit the distribution of retinal pathology. In vitro observations may help to inform these choices.http://link.springer.com/article/10.1186/s12886-017-0660-7Silicone oilRetinal detachmentDouble silicone oil endotamponadeComplex retinal detachment |
| spellingShingle | Cheryl MacGregor Abigail Jonas Abdul Hanifudin Jonathan Lochhead Ratios for double silicone oil Endotamponade – in vitro observations may assist with ratio selection BMC Ophthalmology Silicone oil Retinal detachment Double silicone oil endotamponade Complex retinal detachment |
| title | Ratios for double silicone oil Endotamponade – in vitro observations may assist with ratio selection |
| title_full | Ratios for double silicone oil Endotamponade – in vitro observations may assist with ratio selection |
| title_fullStr | Ratios for double silicone oil Endotamponade – in vitro observations may assist with ratio selection |
| title_full_unstemmed | Ratios for double silicone oil Endotamponade – in vitro observations may assist with ratio selection |
| title_short | Ratios for double silicone oil Endotamponade – in vitro observations may assist with ratio selection |
| title_sort | ratios for double silicone oil endotamponade in vitro observations may assist with ratio selection |
| topic | Silicone oil Retinal detachment Double silicone oil endotamponade Complex retinal detachment |
| url | http://link.springer.com/article/10.1186/s12886-017-0660-7 |
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