Anterior ""beaded"" emulsification as a late complication of heavy silicone oil: case series

Purpose: To describe the treatment outcomes and prognostic factors of retinotomy/retinectomy for rhegmatogenous retinal detachment (RD) complicated anterior inferior proliferative vitreoretinopathy (PVR). Methods: Retrospective, nonrandomized, single-center case series. The outcomes of 126 cases of retinotomy/retinectomy for RD complicated by advanced (Grade C) anterior inferior PVR managed consistently by one surgeon during a 15-year period were evaluated. Results: Forty-two eyes (33%) had primary RDs and 84 (67%) had recurrent RDs. The extent of retinotomy/retinectomy varied: 90° in 21 eyes (17%), >90° to <180° in 49 eyes (39%), and ⩾180° to ⩽240° in 56 eyes (44%). The retinotomy/retinectomy location was peripheral in 58 eyes (46%) and equatorial in 68 eyes (54%). The mean follow-up period was 43 ± 42 months. The silicone oil (SO) was removed from 98% of the eyes. The single-operation success rate after the primary retinectomy was 87%, and the final attachment rate was 94%. Visual acuity improved from 20/630 to 20/160 ( p < 0.001). Vision ⩾20/200 was achieved in 101 eyes (80%). Good visual outcome was correlated positively with preoperative VA ( p = 0.02), previous vitrectomy with gas tamponade ( p = 0.007), and was negatively correlated with number of previous RD operations ( p = 0.01), larger extent of RD ( p = 0.02) and more extensive retinotomy/retinectomy ( p = 0.04). Conclusions: An appropriate and timely intervention, including vitrectomy alone, inferior relaxing retinotomy/retinectomy and standard SO tamponade provide satisfactory outcomes for RDs complicated by PVR. Lesser extension of grade C PVR at baseline, such as PVR limited to one quadrant should encourage vitreoretinal specialists to consider retinotomy/retinectomy at a milder clinical stage of PVR development.

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Long-Term Evaluation of Anatomic and Functional Results after Complicated Retinal Detachment Treated with Pars Plana Vitrectomy and Heavy Silicone Oil Tamponade

Klinische Monatsblätter für Augenheilkunde ◽

10.1055/s-0028-1109685 ◽

2009 ◽

Vol 226 (09) ◽

pp. 707-712 ◽

Cited By ~ 7

Author(s):

R. Regler ◽

H. Sachs ◽

J. Hillenkamp ◽

H. Helbig ◽

C. Framme

Keyword(s):

Retinal Detachment ◽

Pars Plana Vitrectomy ◽

Silicone Oil ◽

Functional Results ◽

Heavy Silicone Oil ◽

Term Evaluation ◽

Pars Plana ◽

Silicone Oil Tamponade

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Heavy silicone oil tamponade after failed macular hole surgery with perfluoropropane (C3F8): a report of five cases

Graefe s Archive for Clinical and Experimental Ophthalmology ◽

10.1007/s00417-008-0965-6 ◽

2008 ◽

Vol 247 (5) ◽

pp. 707-709 ◽

Cited By ~ 13

Author(s):

Muhammad Usman Saeed ◽

Heinrich Heimann ◽

David Wong ◽

Syed Khurshid Gibran

Keyword(s):

Macular Hole ◽

Silicone Oil ◽

Macular Hole Surgery ◽

Heavy Silicone Oil ◽

Silicone Oil Tamponade

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Results and Complications after Implantation of a Black Iris-Lens Diaphragm in Patients with Traumatically Induced Aphakia and Aniridia

European Journal of Ophthalmology ◽

10.5301/ejo.2011.6484 ◽

2011 ◽

Vol 21 (6) ◽

pp. 754-759 ◽

Cited By ~ 5

Author(s):

Vasileios Petousis ◽

Lothar Krause ◽

Gregor Willerding ◽

Michael H. Foerster ◽

Nikolaos E. Bechrakis

Keyword(s):

Anterior Chamber ◽

Surgical Repair ◽

Silicone Oil ◽

Case Series ◽

Corrected Visual Acuity ◽

Time Out ◽

Anatomic Results ◽

The Mean ◽

Positive Effect

Purpose. The black iris-lens diaphragm (ILD) can be used in the treatment of traumatic aniridia and aphakia. The aim of our study was to show postoperative functional and anatomic results and complications in a small case series. Methods. We retrospectively analyzed the files of 16 patients managed with a black ILD or a sole iris diaphragm in the period 1994–2007. Four of them were female and 12 were male. The mean age of the group was 50±17 years. At the time of the implantation, all of the eyes had already undergone primary surgical repair. Results. The preoperative best-corrected visual acuity in half of the patients was ≥0.1 and remained stable after the first postoperative year. During the follow-up years, one eye developed a subluxation of the implant and one eye an anterior chamber hemorrhage. At the same time, out of 8 eyes carrying a silicone tamponade in the vitreous cavity, silicone oil entered the anterior chamber in 3 cases. In one case, enucleation was undertaken due to phthisis. Conclusions. In the case of severely traumatized eyes with aniridia and aphakia, the implantation of a black ILD can have a positive effect on functional and anatomic stabilization.

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Interaction with intraocular lens materials: Does heavy silicone oil act like silicone oil?

Journal of Cataract & Refractive Surgery ◽

10.1016/j.jcrs.2006.09.023 ◽

2007 ◽

Vol 33 (1) ◽

pp. 127-129 ◽

Cited By ~ 6

Author(s):

Aylin Yaman ◽

Osman A. Saatci ◽

Sulen Sarıoğlu ◽

Hakan F. Öner ◽

Ismet Durak

Keyword(s):

Intraocular Lens ◽

Silicone Oil ◽

Heavy Silicone Oil

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SECONDARY PROLIFERATIONS IN HEAVY SILICONE OIL ENDOTAMPONADE

Retinal Cases & Brief Reports ◽

10.1097/01.icb.0000295944.86478.b7 ◽

2007 ◽

Vol 1 (4) ◽

pp. 217-219

Author(s):

Suleyman Kaynak ◽

Hakan F. Oner ◽

Nilufer Kocak ◽

Banu Lebe

Keyword(s):

Silicone Oil ◽

Heavy Silicone Oil

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Direct Transretinal Removal of Subfoveal Perfluorocarbon Liquid: The Role and Timing of Internal Limiting Membrane Peeling

European Journal of Ophthalmology ◽

10.5301/ejo.5000934 ◽

2017 ◽

Vol 27 (2) ◽

pp. 249-252 ◽

Cited By ~ 4

Author(s):

Stefano De Cillà ◽

Micol Alkabes ◽

Paolo Radice ◽

Elisa Carini ◽

Carlos Mateo

Keyword(s):

Retinal Detachment ◽

Silicone Oil ◽

Case Series ◽

Vitreoretinal Surgery ◽

Internal Limiting Membrane ◽

Perfluorocarbon Liquid ◽

Ilm Peeling ◽

The Status ◽

Anatomic Results ◽

Silicone Oil Tamponade

Purpose To describe a case series including 4 patients undergoing direct transretinal aspiration of subfoveal perfluorocarbon liquid (PFCL) and internal limiting membrane (ILM) peeling after macula-off retinal detachment surgery. Methods Four patients who had undergone vitreoretinal surgery due to primary rhegmatogenous retinal detachment were further treated because of retained subfoveal PFCL. Direct transretinal aspiration of PFCL through a self-sealing foveal retinotomy was performed in all cases using a 41-G needle placed on the top of the bubble. The ILM was peeled off prior to and after PFCL removal in 2 cases, respectively. Optical coherence tomography (OCT) scans were obtained preoperatively and postoperatively to assess the status of the macula. Results Subfoveal PFCL was successfully removed in all cases. Two patients had silicone oil tamponade at the time of the second surgery, which was temporarily removed in both cases and then reapplied in one. Best-corrected visual acuity improved in all cases. No postoperative macular hole was observed by OCT. Conclusions Direct transretinal aspiration of subfoveal PFCL with a 41-G cannula combined with conventional ILM peeling is a safe and effective technique to avoid long-term damage to the retinal layers with good functional outcomes. Performing the ILM peeling immediately before or after the PFCL aspiration does not seem to influence anatomic results.

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