Silicone Oil Removal: Post-operative Complications

Overview

Journal Eye (Lond)

Specialty Ophthalmology

Date 2019 Aug 14

PMID 31406357

Citations 21

Authors

Reda Issa

Tian Xia

Marco A Zarbin

Neelakshi Bhagat

Affiliations

Soon will be listed here.

Abstract

Purpose: To describe the characteristics, outcomes and complications of eyes after silicone oil removal.

Methods: Retrospective case series of eyes that underwent oil removal between 2012 and 2016 at The Institute of Ophthalmology and Visual Science. Visual acuity (VA), intraocular pressure (IOP) and rates of retinal re-detachment, hypotony, ocular hypertension, corneal decompensation, cystoid macular edema (CME) and cataract progression were evaluated.

Results: Totally, 101 eyes of 99 patients (65% male, average age 47.2 years) were identified. Oil tamponade had been used for retinal detachment (RD) repair in all eyes; 15 eyes had also undergone an open globe repair previously. The most common vitreous substitutes used after oil removal were balanced salt solution (BSS) and air in 90% of eyes. The average time of oil tamponade before removal was 9.46 months. The average logMAR VA before oil removal was 1.7 which improved to an average of 1.4 post-operatively. The average IOP pre-operatively was 16.1 mm Hg, which decreased to an average of 14.8 mm Hg post-operatively. Complications after oil removal, included retinal re-detachment (6.9%), hypotony (7.9%), ocular hypertension (12.9%), corneal decompensation (9.9%), CME (2%) and cataract progression (68%).

Conclusion: This study showed an overall improvement in VA and decrease in IOP after oil removal. Cataract progression was the most common complication.

Citing Articles

An open-globe injury case caused by brown bear attack.

Konno A, Ishibazawa A, Kagokawa H, Meya Y, Nagaoka T Am J Ophthalmol Case Rep. 2024; 36:102210.

PMID: 39634096 PMC: 11614823. DOI: 10.1016/j.ajoc.2024.102210.

Ophthalmic Outcomes After Silicone Oil Removal.

Jiao G, Shah P, Shakin E, Lee J, Ferrone P, Rhee D J Vitreoretin Dis. 2024; :24741264241271645.

PMID: 39554621 PMC: 11561951. DOI: 10.1177/24741264241271645.

Quantitative signs on ultrasound biomicroscopy images associated with the status of silicone oil emulsification within the eye.

Zhao H, Wu K, Zong Y, Chen Q, Jiang C Sci Prog. 2024; 107(3):368504241281255.

PMID: 39344469 PMC: 11526399. DOI: 10.1177/00368504241281255.

Chitosan alchemy: transforming tissue engineering and wound healing.

Pramanik S, Aggarwal A, Kadi A, Alhomrani M, Alamri A, Alsanie W RSC Adv. 2024; 14(27):19219-19256.

PMID: 38887635 PMC: 11180996. DOI: 10.1039/d4ra01594k.

Posterior capsular radial sign: a novel method to confirm anterior vitreous cortex resection in phacovitrectomy.

Qu S, Zhou Q, Shao Y, Lin M, Shen J, Niu G BMC Ophthalmol. 2024; 24(1):231.

PMID: 38822280 PMC: 11143691. DOI: 10.1186/s12886-024-03474-x.

References

CIBIS P, Becker B, Okun E, Canaan S . The use of liquid silicone in retinal detachment surgery. Arch Ophthalmol. 1962; 68:590-9. DOI: 10.1001/archopht.1962.00960030594005. View

Feibel R, Blodi C . Paul A. Cibis, MD: a pioneer of modern vitreoretinal surgery. JAMA Ophthalmol. 2013; 131(8):1077-82. DOI: 10.1001/jamaophthalmol.2013.597. View

Kharrat W, Turki K, Ben Amor H, Sellami D, Sellami A, Trigui A . [Use of silicone oil in vitreal hemorrhage complicating proliferated diabetic retinopathy]. J Fr Ophtalmol. 2009; 32(2):98-103. DOI: 10.1016/j.jfo.2009.01.002. View

Cox M, Trese M, Murphy P . Silicone oil for advanced proliferative vitreoretinopathy. Ophthalmology. 1986; 93(5):646-50. DOI: 10.1016/s0161-6420(86)33686-8. View

Grey R, Leaver P . Results of silicone oil injection in massive preretinal retraction. Trans Ophthalmol Soc U K (1962). 1977; 97(2):238-41. View

Grey R, Leaver P . Silicone oil in the treatment of massive preretinal retraction. I. Results in 105 eyes. Br J Ophthalmol. 1979; 63(5):355-60. PMC: 1043488. DOI: 10.1136/bjo.63.5.355. View

McCuen 2nd B, Landers 3rd M, MACHEMER R . The use of silicone oil following failed vitrectomy for retinal detachment with advanced proliferative vitreoretinopathy. Ophthalmology. 1985; 92(8):1029-34. DOI: 10.1016/s0161-6420(85)33904-0. View

Sell C, McCuen 2nd B, Landers 3rd M, MACHEMER R . Long-term results of successful vitrectomy with silicone oil for advanced proliferative vitreoretinopathy. Am J Ophthalmol. 1987; 103(1):24-8. DOI: 10.1016/s0002-9394(14)74164-9. View

Yeo J, Glaser B, Michels R . Silicone oil in the treatment of complicated retinal detachments. Ophthalmology. 1987; 94(9):1109-13. DOI: 10.1016/s0161-6420(87)33328-7. View

10.

Azen S, Scott I, Flynn Jr H, Lai M, Topping T, Benati L . Silicone oil in the repair of complex retinal detachments. A prospective observational multicenter study. Ophthalmology. 1998; 105(9):1587-97. DOI: 10.1016/S0161-6420(98)99023-6. View

11.

Castellarin A, Grigorian R, Bhagat N, Del Priore L, Zarbin M . Vitrectomy with silicone oil infusion in severe diabetic retinopathy. Br J Ophthalmol. 2003; 87(3):318-21. PMC: 1771528. DOI: 10.1136/bjo.87.3.318. View

12.

de Juan Jr E, Hardy M, Hatchell D, Hatchell M . The effect of intraocular silicone oil on anterior chamber oxygen pressure in cats. Arch Ophthalmol. 1986; 104(7):1063-4. DOI: 10.1001/archopht.1986.01050190121050. View

13.

Higuchi A, Yamada H, Kawai E, Fujiseki Y, Wada M, Kiuchi K . [Vitrectomy for proliferative diabetic retinopathy]. Nippon Ganka Gakkai Zasshi. 2005; 109(3):134-41. View

14.

Szurman P, Roters S, Grisanti S, Aisenbrey S, Rohrbach J, Warga M . Primary silicone oil tamponade in the management of severe intraocular foreign body injuries: an 8-year follow-up. Retina. 2007; 27(3):304-11. DOI: 10.1097/01.iae.0000237685.99713.83. View

15.

Abrams G, Azen S, McCuen 2nd B, Flynn Jr H, Lai M, Ryan S . Vitrectomy with silicone oil or long-acting gas in eyes with severe proliferative vitreoretinopathy: results of additional and long-term follow-up. Silicone Study report 11. Arch Ophthalmol. 1997; 115(3):335-44. DOI: 10.1001/archopht.1997.01100150337005. View

16.

Chylack Jr L, Leske M, McCarthy D, Khu P, Kashiwagi T, Sperduto R . Lens opacities classification system II (LOCS II). Arch Ophthalmol. 1989; 107(7):991-7. DOI: 10.1001/archopht.1989.01070020053028. View

17.

de Juan Jr E, McCuen B, Tiedeman J . Intraocular tamponade and surface tension. Surv Ophthalmol. 1985; 30(1):47-51. DOI: 10.1016/0039-6257(85)90088-8. View

18.

Lam R, Cheung B, Yuen C, Wong D, Lam D, Lai W . Retinal redetachment after silicone oil removal in proliferative vitreoretinopathy: a prognostic factor analysis. Am J Ophthalmol. 2008; 145(3):527-533. DOI: 10.1016/j.ajo.2007.10.015. View

19.

Ramezani A, Ahmadieh H, Rozegar A, Soheilian M, Entezari M, Moradian S . Predictors and Outcomes of Vitrectomy and Silicone Oil Injection in Advanced Diabetic Retinopathy. Korean J Ophthalmol. 2017; 31(3):217-229. PMC: 5469925. DOI: 10.3341/kjo.2016.0018. View

20.

Bassat I, Desatnik H, Alhalel A, Treister G, Moisseiev J . Reduced rate of retinal detachment following silicone oil removal. Retina. 2000; 20(6):597-603. DOI: 10.1097/00006982-200011000-00002. View