Retrospective case series of high-density silicone oil (Oxane HD) in severe proliferative vitreorretinal retinal detachment patients.

Autor: Oliveira RA; Department of Ophthalmology, Universidade Federal de São Paulo (UNIFESP/EPM), São Paulo, Brazil., Pesquero VO; Department of Ophthalmology, Universidade Federal de São Paulo (UNIFESP/EPM), São Paulo, Brazil., Ribeiro LZ; Department of Ophthalmology, Universidade Federal de São Paulo (UNIFESP/EPM), São Paulo, Brazil., Polizelli MU; Hospital de Olhos Oeste Paulista, Assis, Brazil., Silva ARSFD; Universidade Federal do Triângulo Mineiro (UFTM/FMTM), Minas Gerais, Olhos Oeste Paulista, Assis, Brazil., Moraes NSB; Department of Ophthalmology, Universidade Federal de São Paulo (UNIFESP/EPM), São Paulo, Brazil., Fernandes RAB; Department of Ophthalmology, Universidade Federal de São Paulo (UNIFESP/EPM), São Paulo, Brazil., Junior OM; Department of Ophthalmology, Universidade Federal de São Paulo (UNIFESP/EPM), São Paulo, Brazil., Maia M; Department of Ophthalmology, Universidade Federal de São Paulo (UNIFESP/EPM), São Paulo, Brazil. maiamauricio@terra.com.br.; Hospital de Olhos Oeste Paulista, Assis, Brazil. maiamauricio@terra.com.br.
Jazyk: angličtina
Zdroj: International journal of retina and vitreous [Int J Retina Vitreous] 2024 Apr 11; Vol. 10 (1), pp. 33. Date of Electronic Publication: 2024 Apr 11.
DOI: 10.1186/s40942-024-00548-2
Abstrakt: Background: Describe complications and clinical outcomes of heavy silicone oil (HSO) Oxane HD® use as an alternative to overcome the challenges of performing vitrectomy to treat tractional and rhegmatogenous retinal detachments with proliferative vitreoretinopathy (PVR).
Methods: A retrospective, observational study was performed on patients from one center from August 2014 to Aug 2023. It was included patients who underwent surgery using HSO Oxane HD® to treat rhegmatogenous retinal detachment with PVR or mixed tractional and rhegmatogenous diabetic retinal detachment. Severely ill patients who could not attend to follow up were excluded. The primary outcome was successful retinal attachment at first postoperative month. A descriptive analysis was performed.
Results: Among the 31 patients, 29 (93.5%) underwent surgeries due to rhegmatogenous retinal detachment and two (6.5%) for diabetic retinal detachment. The primary anatomic success was achieved in 27 (87.1%) patients. At the final visit, 17 (56.6%) had vision better than 20/400 (range, 20/30 to light perception). The vision was stable or improved in 22 (76.8%) patients at the end of follow-up. Nineteen (61.3%) patients required hypotensive eye drops after HSO use and twelve (38.7%) still required hypotensive eye drops at the final follow-up; three (9.7%) patients required additional glaucoma surgeries.
Conclusions: HSO is safe and useful for complex retinal detachments cases specially with inferior tears and PVR. Ocular hypertension is frequent and usually clinically controlled with hypotensive eyedrops. Close postoperatively follow-up is advised due to the ocular complications, particularly elevated intraocular pressure and emulsification.
(© 2024. The Author(s).)
Databáze: MEDLINE
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