Retinal redetachment after silicone oil removal in proliferative vitreoretinopathy: a prognostic factor analysis

American Journal of Ophthalmology
Robert F LamWico W Lai

Abstract

To determine the prognostic factors associated with retinal redetachment after 1300-centistokes silicone oil removal in rhegmatogenous retinal detachments (RDs) associated with grade C proliferative vitreoretinopathy (PVR). Nonrandomized, retrospective, comparative interventional trial. One hundred and forty-seven eyes with RD and grade C PVR treated with silicone oil tamponade, with subsequent silicone oil removal, in an institutional setting. Main outcome measures included anatomic success, defined as complete retinal attachment after silicone oil removal, and best-corrected visual acuity (BCVA) after silicone oil removal. Silicone oil was removed after a mean tamponade period of 12.4+/-9.8 months. The mean follow-up after silicone oil removal was 22.1+/-18.7 months (range, 6.0 to 71.0 months). The retina remained attached in 120 eyes after oil removal. The overall anatomic success rate was 81.6%+/-3.2%. Logistic regression showed that an increased number of previous unsuccessful RD surgeries (odds ratio [OR], 0.39; 95% confidence interval [CI], 0.19 to 0.80; P=.010) and longer axial lengths (OR, 0.42; 95% CI, 0.15 to 0.87; P=.032) were associated with a lower anatomic success rate. Previous vitrectomy, previous scleral buckl...Continue Reading

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Citations

Oct 5, 2013·International Ophthalmology·Saeed F Al-WadaniAhmed M Abu El-Asrar
Apr 3, 2012·Veterinary Ophthalmology·Kirsten A SteelePaul A Gerding
Dec 16, 2010·Acta Ophthalmologica·Christiane I Falkner-RadlerSusanne Binder
Sep 2, 2014·Journal of Ophthalmology·Constantin PournarasMiltiadis K Tsilimbaris
Aug 22, 2014·Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie·Tal FrenkelAdiel Barak
Jun 25, 2008·American Journal of Ophthalmology·Soumen MondalSundaram Natarajan
Jun 22, 2018·Ophthalmic Surgery, Lasers & Imaging Retina·Yueqing HeJunjun Zhang
Aug 14, 2019·Eye·Reda IssaNeelakshi Bhagat
Apr 15, 2015·International Journal of Retina and Vitreous·Renata Leite De Pinho TavaresCarlos Augusto Cardim De Oliveira
Jun 5, 2021·Der Ophthalmologe : Zeitschrift der Deutschen Ophthalmologischen Gesellschaft·Agharza AshurovStephan Schulze

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