Oxane HD and Retinal Detachment Surgery in Routine Clinical Practice
| Autor: | Ghee Soon Ang, Anna Louise Murphy, Wai Siene Ng, Hatem R. Atta |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
Adult
Male Proliferative vitreoretinopathy medicine.medical_specialty Visual Acuity Risk Assessment Retinal detachment surgery Young Adult Postoperative Complications Pseudohypopyon Vitrectomy Ophthalmology medicine Humans Silicone Oils Routine clinical practice Endotamponade Heavy silicone oil Aged Retrospective Studies Aged 80 and over Fluorocarbons Intraoperative Care business.industry Incidence Vitreoretinopathy Proliferative Retinal Detachment Retinal detachment repair General Medicine Middle Aged medicine.disease humanities Sensory Systems Vitreous Body body regions Treatment Outcome Female business Follow-Up Studies |
| Zdroj: | Ophthalmologica. 224:347-353 |
| ISSN: | 1423-0267 0030-3755 |
| DOI: | 10.1159/000313816 |
| Popis: | Background/Aims: To assess the outcomes and complications of endotamponade with Oxane HD following retinal detachment repair. Methods: Retrospective consecutive case series of inferior retinal detachment with Oxane HD endotamponade within a 3-year period. Results: Case notes for 18 eyes of 18 patients were reviewed. Four (22.2%) were total retinal detachments and 13 (72.2%) had proliferative vitreoretinopathy. The mean Oxane HD endotamponade and follow-up durations were 27 ± 38 and 66 ± 39 weeks, respectively. The eventual anatomic success rate was 77.8%, but without any significant difference in vision. Postoperative complications occurred in 14 (77.8%), including emulsification (6 eyes; 33.3%), epiretinal membrane (5 eyes; 27.8%), and posterior capsular opacification (4 eyes; 22.2%). Of the 14 eyes requiring intraoperative perfluorodecalin, 12 (85.7%) developed complications; all 5 (100%) eyes with direct exchange of perfluorodecalin with Oxane HD developed complications. Conclusion: Although useful for inferior retinal detachments, Oxane HD was associated with a relatively high rate of emulsification when compared to other series. Our series also suggests that prior use of perfluorodecalin intraoperatively, and in particular direct exchange of perfluorodecalin with Oxane HD, may be associated with an increased risk of intraocular complications. |
| Databáze: | OpenAIRE |
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