Graue WF, López BA, Lizana HC, Santos GM

Language: Spanish
References: 13
Page: 97-100
PDF size: 35.68 Kb.

ABSTRACT

Purpose: To evaluate the efficacy and security in the use of heavy silicone as tamponade in vitreoretinal surgery.
Methods: Patients assisting to the Insituto de Oftalmologia with a complicated retinal detachment involving the inferior portion of the retina and requiring internal tamponade with silicon oil were recruited for this non-randomized, prospective study, in a period from January 2004 to December 2005. We included patients with retinal detachment secondary to proliferative vitreoretinopathy, inferior or posterior breaks or trauma, with or without traction components. Follow ups examinations were at day 1, 4 weeks, 12 weeks, 24 weeks and up to 36 weeks.
Results: A total of 48 patients were treated (10 females and 28 males) with a mean age of 39 years (range 11 to 81). Retinal detachment secondary to trauma accounted for 15 cases, diabetic tractional detachment for 5 cases, retinal detachment with significant proliferative vitreoretinopathy 28 cases. Early recurrence of retinal detachment in 14 cases. Complications included emulsification in 24%, which was not significant, ocular hipothony in 18%, posterior capsular opacification in 37.5%, two patients required cataract surgery during the follow up, one patient needed 3 kinds of topical antihypertensive drops to control eye pressure and one patient had persistent eye inflammation until heavy silicon was removed.
Conclusions: The use of heavy silicon is a useful alternative as a tamponade in the surgery treatment of inferior retinal detachment, its use is safe and the potential complications are similar to those with the use of conventional silicon.

REFERENCES

1. Yeo JH, Glaser BM, Michels RG. Silicone oil in the treatment of complicated retinal detachment. Retina 2003; 23(3):335-342.

2. Gremillon CM, Peyman GA, Liu Kr, Naguib KS. Fluorosilicone oil in the treatment of retinal detachment. Br J Ophthaolmol 1990; 74(11):643-6.

3. Machemer R, Aarberg TM, Freeman H y cols. A update classification of retinal detachment with proliferative vitreoretinopathy. Am J Ophthalmol 1991; 122(2):159-165.

4. Gremillon CM, Peyman GA, Liu KR, Naguib KS. Fluorosilicone oil in the treatment of retinal detachment. Br J Ophthalmol 1990; 74(11):643-6.

5. Wolf S, Schon V, Meier PW. Silicon oil-RMN3 mixture (“Heavy silicon oil”) as internal tamponade for complicated retinal detachment. Retina 2003; 23(3):335-342.

6. Wetterqvist D, Wong R, Williams TS y cols. Tamponade efficiency of perfluorohexyloctane and silicon oil solutions in a model eye chamber. Br J Ophtalmol 2004, 88:692-696.

7. Scott JD. Fluorosilicone oil for retinal detachment Br J Ophthalmol 1990; 74(11):641-2.

8. Nakamura K, Refojo MF, Crabtre DV, Leong FL. Analysis and fractionation of silicone and fluorosilicone oil for intraocular use. Invst Ophthalmol Vis Sci 1990; 31(10):2059-69.

9. Heij E, Hendriske F, Kesseks GH. Results and complications of temporary silicone oil tamponade in patients with complicated retinal detachment. Retina 2001; 21:107-114.

10. Doi M, Ning M, Ida H, Uji Y Y COLS. Histopathologic retinal changes with intravitreous fluorosilicone oil in rabbit eyes. Retina 2000; 20(5): 532.

11. Theelsen T, Tilanus M, Klevering F. Intraocular inflammation following endotamponade with high density silicone oil. Graefes Arch Clin Exp Ophthalmol 2004; 242(7):617-620.

12. Versura O, Cellini M, Torreggiani A, Bernabuini B, Rossi A, Moretti M, Caramazza R. The biocompability of silicone, fluorosilicone and perfluorocarbon liquids as vitreous tamponades: an ultrastructural and inmunohistochemical study. Ophthalmologica 2001; 215(4):276-83.

13. Pagot-Mathis V, Benouaich X, Mathis A, Rico-Lattes I, Dumoulin A. Management of complicated retinal detachment using a heavy silicon oil as temporary tamponade. J Fr Ohtalmol 2006; 29(2):137-145.