scholarly journals Long-term results of 360A° scleral buckling and vitrectomy with silicone oil tamponade for management of gunshot-perforating ocular injury

Eye ◽  
2012 ◽  
Vol 26 (10) ◽  
pp. 1318-1323 ◽  
Author(s):  
H H Ghoraba ◽  
A F Ellakwa ◽  
A A Ghali ◽  
H M Abdel Fattah
Author(s):  
K.I. Konovalova ◽  
◽  
M.M. Shishkin ◽  

Purpose. To compare and evaluate long-term results of two-stage surgical treatment of patients with advanced proliferative diabetic retinopathy and complicated incipient cataract. Material and methods. 73 patients with advanced proliferative diabetic retinopathy and complicated incipient cataract performed by vitrectomy from 2016 to 2020 were analyzed. In the 1st group patients were subjected to a two-step surgical procedure: vitreoretinal surgery with silicone oil tamponade performed as the 1st step in their treatment; followed by the 2d step, phacoemulsification surgery and silicone oil removal, and the IOL implantation, respectively. In the 2d group phacoemulsification performed simultaneously with vitreoretinal surgery: phacoemulsification, IOL implantation, vitreoretinal surgery with silicone oil tamponade. The second step differed in the removal of silicone oil from the vitreous cavity. Results. Visual functions improved in 88.8% of cases in group 1, and in 51.3% in group 2. Conclusion. Outcomes of the studies suggest that it is more viable to perform phacoemulsification surgery sometime later along with silicone oil removal on PDR patients with complicated primary cataract. This sequence of treatment procedure ensures a more gentle approach to the anatomic structures of the eye during the first stage (vitreoretinal surgery) and contributes to the reduction in the number of intraoperative and postoperative complications. Key words: diabetic retinopathy, cataract, vitreoretinal surgery.


1985 ◽  
Vol 55 ◽  
Author(s):  
Miguel F. Refojo

ABSTRACTImplants are essential for the repair of retinal detachments. The implant buckles the wall of the eye and apposes the detached retina with the choroid, thus restoring light sensitivity to the retina. The scleral buckling also relieves traction on the retina from a shrinking vitreous body. The implant materials most commonly used are solid silicone rubber and silicone sponges, but both types have some disadvantages. A poly(hydroxyethyl acrylate-co-methyl acrylate) hydrogel implant with improved properties of softness and antibiotic absorption is also available for retinal detachment surgery. Proliferative vitreoretinopathy involves various conditions of retinal detachment complicated by vitreous fibrosis, which, after vitrectomy, may be treated with intraocular injection of fluids that support the retina against the choroid. For conditions requiring a long-term implant, silicone oil although controversial is the material of choice. Many other substances have been investigated but none better has yet been found.


2011 ◽  
Vol 226 (s1) ◽  
pp. 36-41 ◽  
Author(s):  
Theodor Stappler ◽  
George Morphis ◽  
Cristina Irigoyen ◽  
Heinrich Heimann

2011 ◽  
Vol 226 (4) ◽  
pp. 214-219 ◽  
Author(s):  
Haotian Lin ◽  
Shiqi Ling ◽  
Zhaochuan Liu ◽  
Xiaojian Zhong ◽  
Weirong Chen

Eye ◽  
2002 ◽  
Vol 16 (2) ◽  
pp. 171-176 ◽  
Author(s):  
A Saitoh ◽  
H Taniguchi ◽  
H Gong ◽  
A Ohira ◽  
T Amemiya ◽  
...  

2011 ◽  
Vol 250 (5) ◽  
pp. 645-652 ◽  
Author(s):  
George Morphis ◽  
Cristina Irigoyen ◽  
Antonio Eleuteri ◽  
Theodor Stappler ◽  
Ian Pearce ◽  
...  

1994 ◽  
Vol 4 (1) ◽  
pp. 52-58 ◽  
Author(s):  
I. Karel ◽  
B. Kalvodová

Pars plana vitrectomy (PPV) with silicone oil implantation (SOI) was performed for advanced proliferative diabetic retinopathy (PDR) in 110 eyes of 98 diabetic patients. In, 77 eyes (70%) it was a primary SOI as part of the initial operation; in 33 eyes (30%) it was a secondary SOI in reoperations. Indications for SOI were traction retinal detachment of the posterior pole, combined traction and rhegmatogenous detachment, vitreous haemorrhage with florid vascularised fibrous proliferations, and recurrent vitreous haemorrhage after PPV. The patients were followed up for 24 to 72 months, with a mean of 53 months. At the end of follow-up, anatomical success was achieved in 63 eyes (57%), and functional success with visual acuity 0.01 and better in 35 eyes (32%). Functional failures were caused by retinal redetachment in 47 eyes (43%), by secondary glaucoma in 10 eyes (9%), retinal ischemia in 15 eyes (13%) and keratopathy in three eyes (3%). The functional success rate decreased with follow-up from 67% after six months to 50% by 60 months after SOI. Silicone oil bubble in the anterior chamber, rubeosis iridis, cataract, and glaucoma were the most frequent postoperative complications. PPV with SOI was highly effective in many serious complications of advanced PDR. Functional success was mostly lasting and markedly improved the quality of life of these patients.


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