Purchase this article with an account.
F. Gora, C.P. Lohmann, H. Sachs, V.P. Gabel; Heavy Silicone Oil (Oxane Hd) as Long–Term Tamponade for Complicated Retinal Detachment . Invest. Ophthalmol. Vis. Sci. 2004;45(13):2047.
Download citation file:
© ARVO (1962-2015); The Authors (2016-present)
Purpose: To assess the efficacy and safety of a new heavy silicone oil (Oxane Hd, Bausch&Lomb), with a density of 1.02 g/cm3 and a viscosity of 3300 centistokes, as long term temporary internal tamponade in complicated cases of retinal detachment. Methods: Patients with a complicated retinal detachment due to proliferative vitreoretinopathy (stage ≥ C2) involving the inferior part of the retina were operated using Oxane Hd. The oil was injected at the end of the surgery exchanging perfluorocarbon liquid. Postoperative exams were scheduled for 3, 6, 9 and 12 months. The removal of the oil was planned to be performed 6 to 9 months after surgery. Results: In a period of 5 months 20 patients (12 male / 8 female; age 26–81, mean 58) underwent a pars–plana vitrectomy with Oxane Hd as a tamponade. The follow–up period ranged from 6 to 9 months. In 5 patients (25%) moderate elevation of the intraocular pressure (IOP ≤ 27mmHg) was registered, successfully treated with topic medications. One additional patient had to be treated with a cyclophotocoagulation 3 months after surgery due to IOP > 30 mmHg under systemic therapy. During the follow–up period 13 patients (65%) presented a stable situation of the retina without major signs of PVR. In 7 patients (35%) detached retina with PVR changes were found in the first 3 months. 4 (20%) of these underwent a further surgery with membrane peeling and/or retinotomy and usual oil instalment. In 3 (15%) patients we decided not to perform any further surgery due to the very complicated situation of the retina. Conclusions: The results of this study show in general a good intraocular tolerance of the heavy silicone oil, Oxane Hd, as a temporary tamponade in complicated retinal detachment. The re–detachment rate is comparable with the rate of usual oil tamponade mentioned in the literature.
This PDF is available to Subscribers Only