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

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

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). A retrospective, observational study was...

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Published in:International journal of retina and vitreous Vol. 10; no. 1; p. 33
Main Authors: Oliveira, Ramon Antunes De, Pesquero, Vinicius Oliveira, Ribeiro, Lucas Zago, Polizelli, Murilo Ubukata, Silva, Aalec Rinhel Souza Ferreira Da, Moraes, Nilva Simeren Bueno De, Fernandes, Rodrigo Antonio Brant, Junior, Octaviano Magalhaes, Maia, Mauricio
Format: Journal Article
Language:English
Published: England BioMed Central 11-04-2024
BMC
Subjects:
Arthritis
Atrophy
Cognitive ability
Diabetes
Glaucoma
Heavy silicone oil
Original
Osteoarthritis
Patients
Proliferative vitreoretinopathy
Retina
Retinal detachment
Rhegmatogenous retinal detachment
Silicones
Surgeons
Surgery
Surgical outcomes
United States > US
Heavy silicone oil
Rhegmatogenous retinal detachment
Proliferative vitreoretinopathy
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Summary: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). 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. 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. 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.
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ISSN:2056-9920
2056-9920
DOI:10.1186/s40942-024-00548-2