Silicone oil removal: post-operative complications

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...

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Bibliographic Details
Published in:Eye (London) 2020-03, Vol.34 (3), p.537-543
Main Authors: Issa, Reda, Xia, Tian, Zarbin, Marco A., Bhagat, Neelakshi
Format: Article
Language:English
Subjects:
692/1807/1482
692/699/578
Acuity
Cataracts
Cornea
Edema
Eye
Female
Humans
Hypertension
Laboratory Medicine
Male
Medicine
Medicine & Public Health
Middle Aged
Oil
Ophthalmology
Pharmaceutical Sciences/Technology
Postoperative Complications
Retina
Retinal Detachment - etiology
Retinal Detachment - surgery
Retrospective Studies
Silicone Oils - adverse effects
Silicones
Surgery
Surgical Oncology
Tamponade
Visual Acuity
Vitrectomy
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Summary: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.
ISSN:0950-222X
1476-5454
DOI:10.1038/s41433-019-0551-7