Inferior retinotomy and silicone oil tamponade for recurrent inferior retinal detachment and grade C PVR in eyes previously treated with pars plana vitrectomy or scleral buckle

Purpose: Pars plana vitrectomy (PPV) and silicone oil endotamponade have been used as a treatment in rhegmatogenous retinal detachment (RRD). Improvement in the modality of spectral-domain optical coherence tomography (SD-OCT) allows for the assessment of ganglion cell layer-inner plexiform layer (GCL-IPL) in the macular region. Information about the GCL-IPL status may be a response to the question as to why the visual recovery after PPV with silicone oil tamponade is incomplete. The aim of the study was to evaluate the impact of silicone oil on GCL-IPL and compare it with other endotamponade types such as Sulfur hexafluoride gas (SF6), Perfluoropropane gas (C3F8) used during PPV performed due to RRD. Patients and Methods: The study involved 57 eyes after PPV and 57 healthy, control eyes of patients with primary RRD who had undergone successful PPV. The patients were divided into three subgroups depending on the endotamponade type, and were tracked with complete ophthalmological examination during a period of 6 months. PPV with internal tamponade silicone oil, 24% SF6 or 14% C3F8 was performed. The medical records were reviewed and compared between the groups. Results: SD-OCT analysis detected a significant reduction of average GCL-IPL thickness and reduction of GCLIPL parameter in almost all examined sectors in the group with silicone oil endotamponade during all follow-up visits (P<0.05). The study showed a significant vision deterioration in the silicone oil group in comparison with the SF6 group on all follow-up visits (P<0.05). Conclusion: This is the first in vivo SD-OCT study describing the toxic effect of silicone oil endotamponade on GCL-IPL complex after PPV for RRD. The study confirmed that the GCL-IPL complex value can be a predictive factor for assessing the final visual acuity. SD-OCT should be recommended as a clinical standard in the followup treatment of patients after PPV for RRD, especially with the use of silicone oil endotamponade. Plain Language Summary: The aim of the study was to examine the impact of silicone oil on the ganglion cell complex. The ganglion cell is a neuron type located in the retina and takes part in transmitting visual information from the retina to the brain. Silicone oil is a substance used during eye surgery called pars plana vitrectomy. This tamponade type acts to hold the retina in a proper position. However, during the retinal detachment, which is the separation of the retina from the layer underneath, a reduction of neurons is observed. We decided to use a new technology device called SD-OCT to determine the thickness of the ganglion cell complex. We compared the impact of silicone oil with other tamponade types. We found that silicone oil causes a reduction in the ganglion cell complex. Moreover, we observed vision deterioration in eyes treated with a silicone oil tamponade. The research describes the toxic effect of silicone oil on ganglion cells. Ganglion cell values may be used to determine visual improvement or deterioration after eye surgery with silicone oil tamponade. SD-OCT should be a clinical standard in monitoring patients with silicone oil tamponade.

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Tonic Pupil Following Pars Plana Vitrectomy and Endolaser

Case Reports in Medicine ◽

10.1155/2009/970502 ◽

2009 ◽

Vol 2009 ◽

pp. 1-3 ◽

Cited By ~ 6

Author(s):

Benyamin Ebrahim ◽

Larry Frohman ◽

Marco Zarbin ◽

Neelakshi Bhagat

Keyword(s):

Retinal Detachment ◽

Pars Plana Vitrectomy ◽

Silicone Oil ◽

Retrobulbar Anesthesia ◽

Tonic Pupil ◽

Suprachoroidal Space ◽

Pars Plana ◽

Silicone Oil Tamponade

Tonic pupil was observed in a 67 year-old patient following a retinal detachment repair with pars plana vitrectomy, endolaser and silicone oil tamponade performed under retrobulbar anesthesia. The probable location of disturbance is the postganglionic parasympathetic fibers in the short ciliary nerves along their course to the pupil in the suprachoroidal space. A likely explanation for this phenomenon is injury to short ciliary nerves by endolaser treatment.

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Corneal endothelial changes induced by pars plana vitrectomy with silicone oil tamponade for retinal detachment

Experimental and Therapeutic Medicine ◽

10.3892/etm.2021.10393 ◽

2021 ◽

Vol 22 (3) ◽

Author(s):

Corina Coman (Cernat) ◽

Daniel Malita ◽

Simona Stanca ◽

Stella Patoni (Popescu) ◽

Ovidiu Musat ◽

...

Keyword(s):

Retinal Detachment ◽

Pars Plana Vitrectomy ◽

Silicone Oil ◽

Pars Plana ◽

Silicone Oil Tamponade

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Pars plana vitrectomy with silicone oil tamponade in failed scleral buckle surgery

Canadian Journal of Ophthalmology ◽

10.1016/j.jcjo.2016.02.021 ◽

2016 ◽

Vol 51 (5) ◽

pp. 331-335 ◽

Cited By ~ 1

Author(s):

Güner Ö. Üney ◽

Mehmet A. Acar ◽

Nurten Ünlü ◽

Dicle Hazirolan ◽

Zuleyha Yalniz-Akkaya ◽

...

Keyword(s):

Pars Plana Vitrectomy ◽

Silicone Oil ◽

Scleral Buckle ◽

Pars Plana ◽

Silicone Oil Tamponade

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Successful repair of combined tractional and rhegmatogenous retinal detachment with pars plana vitrectomy without scleral buckle in severe Behçet’s disease

Journal of Surgical Case Reports ◽

10.1093/jscr/rjaa468 ◽

2020 ◽

Vol 2020 (11) ◽

Author(s):

Suzie A Gasparian ◽

Dianne Barrett ◽

David Sierpina ◽

K V Chalam

Keyword(s):

Retinal Detachment ◽

Behçet’S Disease ◽

Pars Plana Vitrectomy ◽

Rhegmatogenous Retinal Detachment ◽

Behcet’S Disease ◽

Silicone Oil ◽

Behçet's Disease ◽

Scleral Buckle ◽

Behcet's Disease ◽

Pars Plana

Abstract Behçet’s disease (BD) is a multisystemic, immune-mediated occlusive vasculitis of unknown etiology with a chronic, relapsing remitting course. Ocular involvement is characterized by recurrent nongranulomatous uveitis with necrotizing obliterative vasculitis affecting both the anterior and posterior segments of the eye and often leads to blindness. We describe successful surgical management of a rare case of combined rhegmatogenous retinal detachment (RRD) and tractional retinal detachment (TRD) in a patient with Behçet’s disease. A 28-year-old Hispanic women with known Behcet’s disease presented with loss of vision of both eyes. She was found to have extensive bilateral necrotizing vasculitis with severe ischemia. Despite aggressive antivascular endothelial growth factor (VEGF) therapy and pan retinal photocoagulation, patient progressed to total blindness from development of combined rhegmatogenous and tractional funnel retinal detachment. Small gauge pars plana vitrectomy (PPV) with silicone oil tamponade was performed for retinal detachment repair (without scleral buckle). Combined RRD and TRD was successfully treated with standard PPV with silicone oil placement without use of scleral buckle. Visual acuity 1 year postoperatively improved from ability to perceive light to 20/400. Combined forms of retinal detachment, a rare development in Behçet’s disease may be effectively treated with PPV (without scleral buckling) with favorable visual and anatomic outcomes.

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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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