Silicone oil tamponade for persistent macular holes

Purpose To evaluate the anatomic and visual outcomes and complications of temporary silicone oil (SO) retinal tamponade in patients with complex rhegmatogenous retinal detachments (RD). Methods The retrospective study included 100 eyes of 93 consecutive patients. Indications for the use of SO were proliferative vitreoretinopathy (PVR) (30 eyes), difficult RD (30 eyes), giant retinal tears (17 eyes), RD after penetrating trauma (14 eyes), and macular holes in highly myopic eyes (9 eyes). Vitrectomy surgery was performed with 5000-centistoke SO as the retinal tamponade. All eyes underwent prophylactic 360° retinopexy at the time of the retinal reattachment operation. The mean duration of SO tamponade was 26.4 weeks, with a mean follow-up of 67.5 weeks after removal of SO. Results In 6 of 100 eyes (6%), the retina redetached after removal of SO. Including the successfully reoperated eyes, the final anatomic success rate was 96%. Other complications were cataract (61%), increased intraocular pressure (13%), hypotony (4%), keratopathy (4%), intravitreal hemorrhage (1%), and suprachoroidal hemorrhage (1%). Corespondence analysis demonstrated that redetatchment and hypotony were associated with PVR and trauma. Overall, good visual outcome (20/200 or better) was achieved in 51% of the whole study group, and in 70.6% of eyes with giant tears, 62.1% of eyes with difficult RD, 44.8% of eyes with PVR, 33.3% of eyes with macular holes, and 28.6% of eyes with trauma (p=0.0382). Logistic regression analysis identified initial visual acuity of 20/200 or better as a factor associated with good visual outcome and occurrence of retinal redetachment/hypotony and old age (≥50 years) as factors negatively associated with good visual outcome. Conclusions The low redetachment rate might be due to prophylactic 360° retinopexy. Giant tears had the best visual outcome. Redetachment/hypotony had a negative impact on achievement of good visual outcome and were associated with PVR and trauma.

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Studing of retinal photosensitivity using various methods of surgical treatment of unclosed macular holes

Modern technologies in ophtalmology ◽

10.25276/2312-4911-2021-3-96-101 ◽

2021 ◽

pp. 96-101

Author(s):

E.A. Larina ◽

◽

R.R. Fayzrakhmanov ◽

O.A. Pavlovskii ◽

M.M. Shishkin ◽

...

Keyword(s):

Free Flap ◽

Silicone Oil ◽

Rapid Development ◽

Surgical Techniques ◽

Internal Limiting Membrane ◽

Small Radius ◽

Large Radius ◽

Primary Surgery ◽

Macular Holes ◽

Silicone Oil Tamponade

The main treatment for macular holes is vitrectomy with peeling of the internal limiting membrane, however, despite the rapid development of macular surgery, the percentage of negative anatomical results after primary surgery remains high. The aim of this work was to evaluate and compare the functional parameters of the central part of the retina using surgical techniques for blocking unclosed macular holes (creating a ILM-free flap in combination with silicone oil tamponade, or creating a ILM-free flap with the application of an ACP mass and tamponade with a gas-air mixture). Material and methods. This study involved 42 patients, the patients were divided into groups in accordance with the technique of reoperative intervention, all patients underwent microperimetry. Results. The retinal photosensitivity along the small radius in patients in the group with tamponade with a gas-air mixture is 1.11 times higher than in patients with silicone oil tamponade, 1.51 times higher in the middle radius, 1.53 times higher in the large radius. Conclusions. In the 2nd group the photosensitivity indicators were higher than in 1st group of patients with using silicone oil tamponade, which can be explained by the negative effect of silicone oil on the macular area. Key words: macular rupture, rigid, free flap, silicone oil, ACP mass, microperimetry.

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Silicone oil tamponade to seal macular holes

Ophthalmology ◽

10.1016/s0161-6420(01)00688-1 ◽

2001 ◽

Vol 108 (9) ◽

pp. 1516-1517 ◽

Cited By ~ 7

Author(s):

Irene Voo ◽

Scott W Siegner ◽

Kent W Small

Keyword(s):

Silicone Oil ◽

Macular Holes ◽

Silicone Oil Tamponade

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Inverted Internal Limiting Membrane Peeling Technique with Silicone Oil Tamponade for Repair of Recurrent Large Macular Holes in Vitrectomized Diabetic Patients

Scripta Scientifica Medica ◽

10.14748/ssm.v46i4.1016 ◽

2014 ◽

Vol 46 (4) ◽

pp. 25

Author(s):

Ilian Shandurkov ◽

Petja Vassileva

Keyword(s):

Silicone Oil ◽

Internal Limiting Membrane ◽

Diabetic Patients ◽

Internal Limiting Membrane Peeling ◽

Membrane Peeling ◽

Macular Holes ◽

Silicone Oil Tamponade

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Silicone oil tamponade to seal macular holes without position restrictions

Ophthalmology ◽

10.1016/s0161-6420(98)91140-x ◽

1998 ◽

Vol 105 (11) ◽

pp. 2140-2148 ◽

Cited By ~ 75

Author(s):

Michael H Goldbaum ◽

Brooks W McCuen ◽

Anne M Hanneken ◽

Stuart K Burgess ◽

Howard H Chen

Keyword(s):

Silicone Oil ◽

Macular Holes ◽

Silicone Oil Tamponade

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Posterior pole retinotomy for treatment of recurrent macular hole retinal detachment in highly myopic eyes: a pilot study

BMC Ophthalmology ◽

10.1186/s12886-021-01973-9 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Xianggui Wang ◽

Xuezhi Zhou ◽

Ying Zhu ◽

Huizhuo Xu

Keyword(s):

Retinal Detachment ◽

Macular Hole ◽

Pars Plana Vitrectomy ◽

Silicone Oil ◽

Posterior Pole ◽

Macular Holes ◽

Macular Hole Retinal Detachment ◽

Pars Plana ◽

Silicone Oil Tamponade ◽

Hole Closure

Abstract Background To investigate the feasibility and efficacy of posterior pole retinotomy to treat recurrent macular hole retinal detachment (MHRD) in highly myopic patients. Methods We performed a retrospective study and reviewed the medical records in our hospital between January 1, 2016 and December 31, 2018. Highly myopic patients who received posterior pole retinotomy with silicone oil tamponade for their recurrent MHRD after pars plana vitrectomy were included in the analysis. Postoperative retinal reattachment, best-corrected visual acuity (BCVA), macular hole closure, and complications were evaluated. Results There were 11 patients (11 eyes) included in this study. All retinas were reattached. Silicone oil was successfully removed from all eyes 1.5–3 months after the surgery. Macular holes were completely closed in three eyes and remained flat open in eight eyes. The BCVA of all eyes improved significantly at 12 months after surgery (logarithm of the minimal angle of resolution, pre vs. postoperatively, 1.87 ± 0.44 vs. 1.15 ± 0.24, P < 0.05). None of the patients had complications such as endophthalmitis, fundus hemorrhage, retinal redetachment, and proliferative vitreoretinopathy. Conclusion Posterior pole retinotomy is a safe and effective surgery to treat recurrent MHRD after pars plana vitrectomy in highly myopic patients.

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