Evaluation of Heavy Silicon Oil in the Treatment of Retinal Detachment Mainly Iinvolving Lower Quadrants

Introduction: The article presents a retrospective analysis of postoperative, anatomic results, including complications in a group with diagnosed primary and recurrent retinal detachment, involving the lower quadrants, where heavy silicon oil was used. Material and methods: Heavy silicone oil was i...

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Main Author: Adam Cywiński
Format: Article
Language:English
Published: Termedia Publishing House 2024-05-01
Series:Okulistyka
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Online Access:https://www.ophthalmologypoland.com.pl/Evaluation-of-Heavy-Silicon-Oil-in-the-Treatment-of-Retinal-Detachment-Mainly-Iinvolving,187931,0,2.html
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author Adam Cywiński
author_facet Adam Cywiński
author_sort Adam Cywiński
collection DOAJ
description Introduction: The article presents a retrospective analysis of postoperative, anatomic results, including complications in a group with diagnosed primary and recurrent retinal detachment, involving the lower quadrants, where heavy silicon oil was used. Material and methods: Heavy silicone oil was injected in 53 eyes in 51 patients. In most cases combined procedures were performed, including lens removal, removal of cerclage or iris reconstruction. Results: Retinal attachment was finally achieved in 88.5% of cases in the eyes with diagnosed primary retinal detachment and in 77.7% in the group with recurrent retinal detachment. Statistically significantly more retinotomies were performed in the eyes with recurrent retinal detachment. Residual peripheral vitreous required removal during repair surgery in the eyes with recurrent retinal detachment. In the eyes with postoperative aphakia a modification of Ando iridotomy was performed. Conclusions: Heavy silicon oil should be used as the endotamponade of choice, in eyes where the cause of retinal detachment is located in lower quadrants and cannot be effectively treated using another form of endotamponade because of low and unpredictable postoperative effectiveness. Location of the cause of retinal detachment should constitute the main criterion of choosing of the right kind of endotamponade.
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spelling doaj-art-f0eaf67998ce40bcb2851986b2b0686b2025-01-24T12:39:58ZengTermedia Publishing HouseOkulistyka1505-27531689-362X2024-05-01271152010.5114/oku/187931187931Evaluation of Heavy Silicon Oil in the Treatment of Retinal Detachment Mainly Iinvolving Lower QuadrantsAdam Cywiński0Silesian Eye Treatment Centre in Żory, PolandIntroduction: The article presents a retrospective analysis of postoperative, anatomic results, including complications in a group with diagnosed primary and recurrent retinal detachment, involving the lower quadrants, where heavy silicon oil was used. Material and methods: Heavy silicone oil was injected in 53 eyes in 51 patients. In most cases combined procedures were performed, including lens removal, removal of cerclage or iris reconstruction. Results: Retinal attachment was finally achieved in 88.5% of cases in the eyes with diagnosed primary retinal detachment and in 77.7% in the group with recurrent retinal detachment. Statistically significantly more retinotomies were performed in the eyes with recurrent retinal detachment. Residual peripheral vitreous required removal during repair surgery in the eyes with recurrent retinal detachment. In the eyes with postoperative aphakia a modification of Ando iridotomy was performed. Conclusions: Heavy silicon oil should be used as the endotamponade of choice, in eyes where the cause of retinal detachment is located in lower quadrants and cannot be effectively treated using another form of endotamponade because of low and unpredictable postoperative effectiveness. Location of the cause of retinal detachment should constitute the main criterion of choosing of the right kind of endotamponade.https://www.ophthalmologypoland.com.pl/Evaluation-of-Heavy-Silicon-Oil-in-the-Treatment-of-Retinal-Detachment-Mainly-Iinvolving,187931,0,2.htmlheavy silicon oilretinal detachmentdensiron®ando iridotomyretinotomyplastic of the iris
spellingShingle Adam Cywiński
Evaluation of Heavy Silicon Oil in the Treatment of Retinal Detachment Mainly Iinvolving Lower Quadrants
Okulistyka
heavy silicon oil
retinal detachment
densiron®
ando iridotomy
retinotomy
plastic of the iris
title Evaluation of Heavy Silicon Oil in the Treatment of Retinal Detachment Mainly Iinvolving Lower Quadrants
title_full Evaluation of Heavy Silicon Oil in the Treatment of Retinal Detachment Mainly Iinvolving Lower Quadrants
title_fullStr Evaluation of Heavy Silicon Oil in the Treatment of Retinal Detachment Mainly Iinvolving Lower Quadrants
title_full_unstemmed Evaluation of Heavy Silicon Oil in the Treatment of Retinal Detachment Mainly Iinvolving Lower Quadrants
title_short Evaluation of Heavy Silicon Oil in the Treatment of Retinal Detachment Mainly Iinvolving Lower Quadrants
title_sort evaluation of heavy silicon oil in the treatment of retinal detachment mainly iinvolving lower quadrants
topic heavy silicon oil
retinal detachment
densiron®
ando iridotomy
retinotomy
plastic of the iris
url https://www.ophthalmologypoland.com.pl/Evaluation-of-Heavy-Silicon-Oil-in-the-Treatment-of-Retinal-Detachment-Mainly-Iinvolving,187931,0,2.html
work_keys_str_mv AT adamcywinski evaluationofheavysiliconoilinthetreatmentofretinaldetachmentmainlyiinvolvinglowerquadrants