Long-term results of vitrectomy and silicone oil in 500 cases of complicated retinal detachments

We retrospectively analyzed by life table analysis the visual and functional results in 500 eyes that underwent combined vitrectomy and silicone oil for various types of complicated retinal detachments. The cumulative proportion of eyes with attached retina was 77% at six months postoperatively, wit...

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Bibliographic Details
Published inAmerican journal of ophthalmology Vol. 104; no. 6; p. 624
Main Authors Lucke, K H, Foerster, M H, Laqua, H
Format Journal Article
LanguageEnglish
Published United States 15.12.1987
Subjects
Adolescent
Adult
Aged
Aged, 80 and over
Child
Child, Preschool
Diabetic Retinopathy - surgery
Eye Diseases - surgery
Female
Follow-Up Studies
Humans
Infant
Male
Middle Aged
Retinal Detachment - complications
Retinal Detachment - surgery
Retinal Diseases - surgery
Retinal Perforations - surgery
Silicone Oils
Vitrectomy
Vitreous Body
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Summary:We retrospectively analyzed by life table analysis the visual and functional results in 500 eyes that underwent combined vitrectomy and silicone oil for various types of complicated retinal detachments. The cumulative proportion of eyes with attached retina was 77% at six months postoperatively, with a range of 71% for perforating injuries to 85% for posterior holes. The proportion of eyes with a visual acuity of 5/200 or better was 69% at six months, with a range of 56% for perforating injuries to 81% for posterior holes. Sixty-nine eyes had poor visual function despite an attached retina, primarily because of cataract (18 eyes) and preexisting retinal or optic disease (31 eyes). Visual function in eyes with clear optical media and an attached retina was stable over time, except in patients with diabetes. No clinical evidence of retinal toxicity to silicone oil was noted.
ISSN:0002-9394
DOI:10.1016/0002-9394(87)90176-0