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» Articles » PMID: 15965152

Visual Loss Following Removal of Intraocular Silicone Oil

Overview
Journal Br J Ophthalmol
Specialty Ophthalmology
Date 2005 Jun 21
PMID 15965152
Citations 38
Authors
S Cazabon
C Groenewald
I A Pearce
D Wong
Affiliations
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Abstract

Aim: To investigate the cause of visual loss following removal of intraocular silicone oil in patients who underwent vitrectomies for retinal detachment or giant retinal tear.

Methods: The clinical records of three cases with visual loss following removal of silicone oil were reviewed. Investigations carried out included fundus fluorescein angiogram, optical coherence tomography, and electrophysiological studies.

Results: Visual acuities dropped from 6/9 to 6/36 in two cases and 6/24 to 3/24 in the third. None of the three cases had macula detachment at any stage. Fundus fluorescein angiogram and optical coherence tomography were normal in all cases. Pattern electroretinogram showed reduced amplitudes of the P50 and N95 components. Multifocal electroretinogram indicated a selective damage to the central part of the macula.

Conclusions: The results suggest that the abnormality arises predominantly in the central part of the macula, especially the outer and middle layers. However, the exact mechanism still remains obscure.

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Macular and Optic Disc Perfusion Changes After Silicone Oil Removal Using Optical Coherence Tomography Angiography: A Prospective Study.

Karakosta C, Verykios V, Feretzakis G, Kourentis C Cureus. 2024; 16(3):e56442.

PMID: 38638747 PMC: 11024882. DOI: 10.7759/cureus.56442.

References
1.
Holder G . Significance of abnormal pattern electroretinography in anterior visual pathway dysfunction. Br J Ophthalmol. 1987; 71(3):166-71. PMC: 1041112. DOI: 10.1136/bjo.71.3.166. View
2.
NEWMAN E . Distribution of potassium conductance in mammalian Müller (glial) cells: a comparative study. J Neurosci. 1987; 7(8):2423-32. PMC: 6568979. View
3.
Casswell A, Gregor Z . Silicone oil removal. II. Operative and postoperative complications. Br J Ophthalmol. 1987; 71(12):898-902. PMC: 1041340. DOI: 10.1136/bjo.71.12.898. View
4.
Federman J, Schubert H . Complications associated with the use of silicone oil in 150 eyes after retina-vitreous surgery. Ophthalmology. 1988; 95(7):870-6. DOI: 10.1016/s0161-6420(88)33080-0. View
5.
Alexandridis E . Silicone oil tamponade in the management of severe hemorrhagic detachment of the choroid and ciliary body after surgical trauma. Ophthalmologica. 1990; 200(4):189-93. DOI: 10.1159/000310105. View