Korean J Ophthalmol.  2014 Feb;28(1):26-31. 10.3341/kjo.2014.28.1.26.

Outcome and Significance of Silicone Oil Tamponade in Patients with Chronic Serous Retinal Detachment

• Kim PS
• Choi CW
• Yang YS

• KMID: 1792091
• DOI: http://doi.org/10.3341/kjo.2014.28.1.26

Abstract

PURPOSE
To evaluate the effectiveness of silicone oil tamponade in patients with chronic serous retinal detachment (SRD) persisting for three months after the resolution of ocular inflammation.
METHODS
A total of 17 eyes of 17 patients diagnosed with chronic SRD persisting for three months after the resolution of ocular inflammation and with high risk of phthisis bulbi by secondary ocular hypotony and macular detachment by subretinal fibrous membrane formation were subjected to surgical intervention. Subjects underwent silicone oil tamponade after surgical drainage of subretinal fluid. Retrospective analyses on anatomical and functional success rates were then performed.
RESULTS
Anatomical success with retinal reattachment was observed in ten of the 17 eyes (58.82%), while functional success measured as difference in the best-corrected visual acuity before and after the surgery were logarithm of the minimum angle of resolution (logMAR) 1.95 +/- 0.66 and logMAR 1.51 +/- 0.66, respectively (p < 0.05).
CONCLUSIONS
This study suggests that, in patients with chronic SRD despite prolonged medical treatment and resolution of inflammation, surgical drainage of subretinal fluid with silicone oil tamponade can achieve anatomical and functional success.

Keyword

Retinal detachment; Silicone oil tamponade; Subretinal fluid; Uveitis

MeSH Terms

Adolescent
Adult
Aged
Child
Drainage/methods
Female
Follow-Up Studies
Humans
Injections
Male
Middle Aged
Retinal Detachment/diagnosis/*surgery
Retrospective Studies
Silicone Oils/*administration & dosage
Subretinal Fluid
Treatment Outcome
Visual Acuity
Vitrectomy/*methods
Young Adult
Silicone Oils

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