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R. C. Siqueira, R. Jorge, C. Guimarães, D. Bruno, A. D. C. Gil; Outcome After Silicone Oil Removal in Patients Undergoing Vitrectomy Surgery Without Scleral Buckling. Invest. Ophthalmol. Vis. Sci. 2009;50(13):4456.
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© ARVO (1962-2015); The Authors (2016-present)
To evaluate the outcome after removal of silicone oil in patients undergoing the vitrectomy surgery without scleral bucking (SB).
139 consecutive cases of removal of silicone oil (139 eyes), all operated by a surgeon using vitrectomy without SB were analyzed. The series consists of complex retinal detachments associated with proliferative vitreoretinopathy (108 eyes,77.7%),tractional retinal detachment associated with proliferative diabetic retinopathy (23 eyes, 16.5%) or after endophthalmitis (8 eyes, 5.8%).The average time the follow-up was 6.3 months ranging from 3 to 60 months.
The success anatomical after the removal of silicone oil set to complete attachment of the retina, was obtained in 120 eyes (86.3%). The redetachment occurred in 19 eyes (13.7%) mainly within the 3.2 months after the removal of silicon oil. The visual acuity remained the same or improved in 103 (74.1%) and declined in 36 (25.9%).
The results after removal of silicone oil in patients previously undergone surgery for vitrectomy with scleral buckle were similar to other studies that carried out the surgery with scleral buckle. There was no statistically significant difference in results between the different causes of retinal detachment
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