Outcomes After the Use of Silicone Oil in Complex Retinal Detachment Repair
| العنوان: | Outcomes After the Use of Silicone Oil in Complex Retinal Detachment Repair |
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| المؤلفون: | Charles C. Barr, Efrat Fleissig, Omar Abu Saleh |
| المصدر: | J Vitreoretin Dis |
| بيانات النشر: | SAGE Publications, 2020. |
| سنة النشر: | 2020 |
| مصطلحات موضوعية: | medicine.medical_specialty, Visual acuity, genetic structures, business.industry, Retinal detachment repair, Retinal detachment, Vitreoretinal surgery, medicine.disease, eye diseases, Silicone oil, 03 medical and health sciences, chemistry.chemical_compound, 0302 clinical medicine, chemistry, Ophthalmology, 030221 ophthalmology & optometry, medicine, Original Manuscripts, medicine.symptom, business, 030217 neurology & neurosurgery |
| الوصف: | Purpose: This study compares visual acuity (VA), anatomic outcomes, and complications in eyes that underwent complex retinal detachment (RD) repair in which silicone oil (SO) was retained vs removed. Methods: A retrospective chart review of patients undergoing vitrectomy with SO tamponade. The eyes were divided into 2 groups based upon SO removal or retention. Main outcome measures were corrected VA, anatomic outcomes, and the presence of SO-related complications. Results: Fifty-seven eyes with removed SO and 53 eyes with retained SO were identified. In both groups, the mean best-corrected VA (BCVA) at the final visit was significantly better than at baseline. In the retained-SO group, vision improved from 1.79 ± 0.6 to 1.2 ± 0.7 logarithm of the minimum angle of resolution (logMAR) (Snellen, 20/1200 to 20/350) at the final visit ( P < .001). In the removed-SO group, mean BCVA improved from 1.84 ± 0.5 at baseline to 1.55 ± 0.6 logMAR units (Snellen, 20/1400 to 20/700) at the visit preceding SO removal ( P < .002) and to 1.43 ± 0.6 logMAR units (Snellen, 20/500) at the final visit ( P < .001). Complication rates were similar in both groups, apart from RD, which occurred more frequently in the removed-SO group ( P = .03). Conclusions: There was similarity in VA and complications among patients with removed or retained SO. Removal of SO may benefit eyes with SO-related complications, but SO retention may decrease the chance of RD and may be indicated in selected cases. |
| تدمد: | 2474-1272 2474-1264 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::22f020e0792ed9821ca09ddd70b1028fTest https://doi.org/10.1177/2474126419896658Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....22f020e0792ed9821ca09ddd70b1028f |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 24741272 24741264 |
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