Complications Associated with Intravitreal Silicone Oil Injection.
- Author:
Tschang Seog OH
1
;
Si Yeol KIM
Author Information
1. Department of Ophthalmology, College of Medicine, Kyung-Pook National University, Taegu, Korea.
- Publication Type:Original Article
- Keywords:
Retinal detachment;
Intravitreal silicone oil;
Ocular complication;
Cataract;
Keratopathy
- MeSH:
Anterior Chamber;
Cataract;
Fibrin;
Hyphema;
Retinal Detachment;
Retinaldehyde;
Retrospective Studies;
Silicone Oils*;
Vitrectomy;
Vitreoretinopathy, Proliferative
- From:Journal of the Korean Ophthalmological Society
1993;34(10):1012-1022
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
A retrospective study is reported on 96 eyes treated by pars plana vitrectomy and intravitreal silicone oil tamponade for treatment of complicated retinal detachment to evaluate ocular complications secondary to intravitreal silicone oil complete retinal reattachment occurred in 59(61.5%) of 96 eyes at initial surgery. Recurrent retinal detachment and recurrent proliferative vitreoretinopathy occurred in 19(32.3%) and 15(25.4%) of 59 eyes respectively. The major complications associated with intravitreal silicone oil were cataract(96.6% of phakic eyes) and keratopathy(29.2%) and their peak onset was around 3 months after intravitreal silicone oil injection. Other complications were intraocular pressme elevation, hypotony, hyphema, fibrin reaction in anterior chamber, etc. These findings suggest that even though intravitreal silicone oil injection is a valid procedure for treatment of complicated retinal detachment, its removal is recommended after about 3 months before development of vision-threatening complicatoins such as cataract and keratopathy.
