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K. Karim–Zade, F. Gelisken, M. Partsch, S. Grisanti, G. Jaissle, K.U. Bartz–Schmidt; Retinal Detachment After Removal of Silicone Oil Following Macular Translocation With 360 degree Retinotomy for Neovascular Age–Related Macular Degeneration . Invest. Ophthalmol. Vis. Sci. 2005;46(13):5500.
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© ARVO (1962-2015); The Authors (2016-present)
Purpose: To report the frequency, anatomical, and functional outcome of retinal detachment after removal of intraocular silicone oil following macular translocation with 360 degree retinotomy (MT–360) for neovascular age–related macular degeneration (AMD). Methods: This retrospective study included 85 eyes of 85 consecutive patients treated by one surgeon between November 2000 and February 2004. All patients underwent a standard procedure including a MT–360 with silicone oil tamponade. Silicone oil was removed as early as 6 weeks later in combination with muscle surgery. Patients were followed up in 3 months interval. Visual acuity was measured by ETDRS charts. Results: Of the 85 patients 36 were male and 49 female. The mean age of the patients was 77 years. Silicone oil was removed in an average of 3.5 months (1.5 to 12 months) after the initial surgery. In 5 (5.8%) of 85 eyes a retinal detachment was detected under silicone oil. Fourteen (17.5%) of the remaining 80 eyes developed retinal detachment after removal of the silicone oil. The mean time of retinal detachment after silicone oil removal in these 14 eyes was 25 days (range, 2–75 days). All eyes with retinal detachment underwent further surgical intervention (9 eyes had one and 5 eyes had two operations) to achieve an attachment of the retina. Conclusions: Retinal detachment after removal of silicone oil following MT–360° was seen in 17.5% of the eyes with neovascular AMD. Since the majority of retinal detachments developed within one month, frequent controls are of utmost importance following silicone oil removal after MT–360.
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