Outcomes of Eyes Undergoing Silicone Oil Removal Following Complex Rhegmatogenous Retinal Detachment Repair.

IF 4.9 2区医学 Q1 OPHTHALMOLOGY

Clinical and Experimental Ophthalmology Pub Date : 2025-03-26 DOI:10.1111/ceo.14518

Emma C Stenz, Ankoor R Shah, Tien P Wong, James C Major, Matthew S Benz, David M Brown, William A Pearce, Effie Z Rahman, Kenneth C Fan, Charles C Wykoff, Sagar B Patel

{"title":"Outcomes of Eyes Undergoing Silicone Oil Removal Following Complex Rhegmatogenous Retinal Detachment Repair.","authors":"Emma C Stenz, Ankoor R Shah, Tien P Wong, James C Major, Matthew S Benz, David M Brown, William A Pearce, Effie Z Rahman, Kenneth C Fan, Charles C Wykoff, Sagar B Patel","doi":"10.1111/ceo.14518","DOIUrl":null,"url":null,"abstract":"Background: Describe outcomes following silicone oil removal (SOR) in eyes undergoing complex rhegmatogenous retinal detachment (RRD) repair with silicone oil (SO) tamponade.Methods: Retrospective analysis of eyes undergoing SOR after SO placement (SOP) for RRD repair between January 2016 and December 2021. Proliferative diabetic retinopathy and postoperative follow-up periods of < 3 months were exclusionary. ANOVA testing and standard error analyses investigated statistical significance (p < 0.05).Results: Eighty nine eyes of 88 patients underwent SOR following 31 RRD repair with SOP. 13.5% of eyes underwent additional RRD repair(s) (12 of 89 eyes). The re-detachment (re-RD) rate following SOR was 15.7% (14 of 89 eyes). Eyes without further RRD repairs after SOR received 360° laser retinopexy prior to SOR more frequently than eyes undergoing additional RRD repair(s) after SOR (87.0% vs. 33.3%) (p = 0.03). Final visual acuity (VA) among eyes without additional RRD repairs following SOR improved by 3 lines of EDTRS letters (20/400 to 20/225) (p = 0.04). The overall rate of persistent hypotony was 6.7% (6 of 89 eyes).Conclusion: Laser retinopexy was associated with fewer repairs for re-RD following SOR. Postoperative re-RD and hypotony occurred in 15.7% and 6.7% of eyes, respectively. Final VA improved in eyes that underwent SOR without subsequent RRD repairs.","PeriodicalId":55253,"journal":{"name":"Clinical and Experimental Ophthalmology","volume":" ","pages":""},"PeriodicalIF":4.9000,"publicationDate":"2025-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical and Experimental Ophthalmology","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1111/ceo.14518","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Background: Describe outcomes following silicone oil removal (SOR) in eyes undergoing complex rhegmatogenous retinal detachment (RRD) repair with silicone oil (SO) tamponade.

Methods: Retrospective analysis of eyes undergoing SOR after SO placement (SOP) for RRD repair between January 2016 and December 2021. Proliferative diabetic retinopathy and postoperative follow-up periods of < 3 months were exclusionary. ANOVA testing and standard error analyses investigated statistical significance (p < 0.05).

Results: Eighty nine eyes of 88 patients underwent SOR following ³1 RRD repair with SOP. 13.5% of eyes underwent additional RRD repair(s) (12 of 89 eyes). The re-detachment (re-RD) rate following SOR was 15.7% (14 of 89 eyes). Eyes without further RRD repairs after SOR received 360° laser retinopexy prior to SOR more frequently than eyes undergoing additional RRD repair(s) after SOR (87.0% vs. 33.3%) (p = 0.03). Final visual acuity (VA) among eyes without additional RRD repairs following SOR improved by 3 lines of EDTRS letters (20/400 to 20/225) (p = 0.04). The overall rate of persistent hypotony was 6.7% (6 of 89 eyes).

Conclusion: Laser retinopexy was associated with fewer repairs for re-RD following SOR. Postoperative re-RD and hypotony occurred in 15.7% and 6.7% of eyes, respectively. Final VA improved in eyes that underwent SOR without subsequent RRD repairs.

查看原文本刊更多论文

复杂孔源性视网膜脱离修复术后进行硅油去除的疗效。

背景：描述硅油去除（SOR）后，用硅油（SO）填塞修复复杂孔源性视网膜脱离（RRD）的结果。方法：回顾性分析2016年1月至2021年12月间视网膜视网膜缺损（RRD）植入术（SOP）后行SOR手术的眼睛。结果：88例患者中89只眼在31次RRD修复后行SOR。13.5%的眼睛接受了额外的RRD修复（89只眼睛中的12只）。SOR术后再脱离（re-RD）率为15.7%（14 / 89眼）。在SOR术后未进行进一步RRD修复的眼睛在SOR术前接受360°激光视网膜固定术的频率高于SOR术后进行额外RRD修复的眼睛（87.0%比33.3%）（p = 0.03）。SOR后未进行额外RRD修复的眼睛的最终视力（VA）提高了3行EDTRS字母（20/400至20/225）（p = 0.04）。持续低斜视的总发生率为6.7%（89只眼中有6只）。结论：激光视网膜固定术与SOR后再rd的修复较少相关。术后再rd和低斜视发生率分别为15.7%和6.7%。在没有后续RRD修复的情况下，接受SOR的眼睛最终VA得到改善。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical and Experimental Ophthalmology 医学-眼科学

CiteScore

7.60

自引率

12.50%

发文量

150

审稿时长

4-8 weeks

期刊介绍： Clinical & Experimental Ophthalmology is the official journal of The Royal Australian and New Zealand College of Ophthalmologists. The journal publishes peer-reviewed original research and reviews dealing with all aspects of clinical practice and research which are international in scope and application. CEO recognises the importance of collaborative research and welcomes papers that have a direct influence on ophthalmic practice but are not unique to ophthalmology.