[Clinical features of silicone oil dependent eyes].

Authors :: Dong FT
Dai RP
Jia Y
Source :: [Zhonghua yan ke za zhi] Chinese journal of ophthalmology [Zhonghua Yan Ke Za Zhi] 2008 Nov; Vol. 44 (11), pp. 998-1001.
Publication Year :: 2008
Abstract: Objective: To study the clinical features of silicone oil dependent eyes.<br />Method: Retrospective observational case series. Twenty four silicone oil dependent eyes collected from the Peking Union Medical College from Jan.2000 to Dec.2006 were studied. The pathogeny, surgical process and prognosis were analyzed.<br />Results: There were 5.9% silicone oil dependent eyes in eyes underwent vitrectomy and silicone oil tamponade. Silicone oil tamponade was performed again in 17 eyes because of severe proliferative vitreoretinopathy (PVR) or repeated vitreous hemorrhage after silicone oil removal and C3F8 tamponade. Silicone oil replacement was performed in 3 eyes because of severe PVR. Continually low intraocular pressure occurred after silicone oil removal in 4 eyes with 360 degree peripheral retinotomy. Thirteen of 24 patients had visual acuities of finger counting to 0.1, 9 had hand movement, one had light perception and one had no light perception.<br />Conclusions: The incidence of silicone oil dependent eye is approximately 5.9%. This is often seen in the patients with severe or repeated PVR, or 360 degree peripheral retinotomy. The visual prognosis is poor in most cases.