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K. A. Becker, K. Engelmann; Retrospective Analysis of 79 Patients With Heavy Silicone Oil Tamponade. Invest. Ophthalmol. Vis. Sci. 2010;51(13):1760.
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© ARVO (1962-2015); The Authors (2016-present)
A retrospective analysis of 79 consecutive patients with heavy silicone oil tamponade (Densiron® 68).
79 patients with different indications underwent vitrectomy with Densiron® 68 tamponade from March 2006 to October 2009 in our eye clinic: 79 retinal detachments (thereof 8 due to diabetic retinopathy, 11 after trauma, 4 after previous intraocular surgery, 4 high myopic eyes), 1 low grade endophthalmitis and 1 massive subretinal bleeding due to ARMD. 10 patients underwent a second Densiron® tamponade in the same eye.
The mean duration of the tamponade was 78±42 days (20-228d). We observed a "shift" phenomenon in 15 and significant emulsification in 8 patients. 46 of 79 patients got no prior surgery before the Densiron® tamponade. In 45 patients only a removal of the heavy tamponade was performed thereafter. In 6 patients it was not possible to achieve a complete adherent retina without a conventional silicone oil tamponade. We observed "sticky" silicone oil at removal in one eye.Visual acuity was before the first surgery 0.84±0.38 (logMar) (n=42) with 33 eyes fingercount or less. At the last visit visual acuity was 0.89±0.46 (logMar) (n=57) with 19 eyes fingercount or less and 2 eyes with no light perception.
Heavy silicone oil tamponade has a great potential for the surgical treatment i.e. of complicated retinal detachment or after trauma. Further investigations and trials are necessary to reduce the rate or improve the treatment of "shift" phenomenon and to recommend indications.
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