Preventive Scleral Buckling and Silicone Oil Tamponade Are Important for Posttraumatic Endophthalmitis Successfully Managed with Vitrectomy

2011 ◽  
Vol 226 (4) ◽  
pp. 214-219 ◽  
Author(s):  
Haotian Lin ◽  
Shiqi Ling ◽  
Zhaochuan Liu ◽  
Xiaojian Zhong ◽  
Weirong Chen
Keyword(s):  
Silicone Oil ◽  
Scleral Buckling ◽  
Silicone Oil Tamponade ◽  
Posttraumatic Endophthalmitis

scholarly journals MODIFIED SCLERAL BUCKLING WITH A NON-CONTACT WIDE ANGLE VIEWING SYSTEM AND A 25G CHANDELIER ENDOILLUMINTOR

2016 ◽  
Vol 21 (4) ◽  
pp. 219 ◽  
Author(s):  
Tehmina Jahangir ◽  
Haroon Tayyab ◽  
Muhammad Naeem ◽  
Qasim Lateef ◽  
Asad Aslam Khan
Keyword(s):  
Retinal Detachment ◽  
Silicone Oil ◽  
Sampling Technique ◽  
Scleral Buckling ◽  
Wide Angle ◽  
Department Of Ophthalmology ◽  
Scleral Buckling Procedure ◽  
Pars Plana ◽  
Silicone Oil Tamponade ◽  
Convenience Sampling

AbstractPurpose:To evaluate the outcome of scleral buckling surgery using a wide angle non-contact viewing system and chandelier endoillumination for per-operative fundus visualization in patients with non-complex rhegmatogenous retinal detachments.Materials and Methods:This was a prospective, interventional study carried out at the Department of Ophthalmology, Mayo Hospital Lahore over a period of six months. Non-probability convenience sampling technique was employed. Fifteen eyes of fifteen pati-ents underwent modified scleral buckling procedure for rhegmatogenous retinal detachment using a 25G Awh Chandelier (inserted into the sclera through the pars plana) and wide angle viewing system to view the fundus intraoperatively instead of the conventional Indirect Ophthalmoscope.Results:The mean age of the patients in this study group was 41.9 12.4 years. Out of fifteen patients, 13 had flat retinas postoperatively. Two patients had to undergo pars plana vitrectomy with silicone oil tamponade due to development of retinal detachment secon-dary to PVR.Conclusion:Modified scleral buckling with the con-current use of a chandelier light and wide angle viewing system provides an easier and more convenient means of visualizing the fundus under panoramic viewing conditions intraoperatively.Key Words:Wide angle viewing system. Retinal detachment. Scleral buckling. Endoillumination.

Retinal Detachment with Giant Tear

2020 ◽  
pp. 164-169
Keyword(s):  
Silicone Oil ◽  
Functional Results ◽  
Scleral Buckling ◽  
Full Thickness ◽  
Primary Vitrectomy ◽  
Perfluorocarbon Liquids ◽  
Retinal Tears ◽  
Silicone Oil Tamponade ◽  
Anatomical Success ◽  
Anatomical Success Rate

Full-thickness neurosensory retinal tears of more than 90 degrees circumferentially are defined as giant retinal tears and constitute very few of rhegmatogenous retinal detachments. Management is difficult as there are highly observed intra- and postoperative complications and it technically hosts many difficulties. Primary vitrectomy with either gas or silicone oil tamponade which can be combined with scleral buckling and phacoemulsification, scleral buckling are used in the treatment. Today anatomical success rate is increased as a result of the use of perfluorocarbon liquids and micro-incisional vitrectomy techniques and with the experience of surgeons. Although functional results are variable, preoperative, and developmental proliferative vitreoretinopathy affects the results.

scholarly journals Bilateral Simultaneous Rhegmatogenous Retinal Detachment following Laser in situ Keratomileusis

2016 ◽  
Vol 7 (2) ◽  
pp. 340-344 ◽  
Author(s):  
Erhan Yumusak ◽  
Kemal Ornek ◽  
Fatma Ozkal
Keyword(s):  
Retinal Detachment ◽  
Rhegmatogenous Retinal Detachment ◽  
Silicone Oil ◽  
Scleral Buckling ◽  
Laser In Situ Keratomileusis ◽  
Pars Plana ◽  
Silicone Oil Tamponade ◽  
The Right ◽  
Vitrectomy Surgery

A 21-year-old woman developed simultaneous rhegmatogenous retinal detachment after laser in situ keratomileusis (LASIK) in both eyes. She underwent pars plana vitrectomy surgery combined with endolaser photocoagulation and silicone oil tamponade in the right eye. A week later, pneumatic retinopexy was done in the left eye. As the retinal tear did not seal, 360° scleral buckling surgery was performed and retina was attached. Bilateral simultaneous rhegmatogenous retinal detachment after LASIK for correction of myopia can be a serious complication. Patients should be informed about the possibility of this complication.

scholarly journals The outcomes of scleral buckling versus re-vitrectomy for the treatment of recurrent inferior retinal detachment in silicone oil tamponade eyes

2016 ◽  
Vol 94 (7) ◽  
pp. e624-e628 ◽  
Author(s):  
Yong Wei ◽  
Guoji Wu ◽  
Kui Xu ◽  
Jianzhou Wang ◽  
Zhongqiao Zu ◽  
...  
Keyword(s):  
Retinal Detachment ◽  
Silicone Oil ◽  
Scleral Buckling ◽  
Silicone Oil Tamponade

scholarly journals Transscleral Removal of Subretinal Strand without Vitrectomy: A Case Report

2021 ◽  
pp. 766-772
Author(s):  
Yongping Tang ◽  
Ronghan Wu
Keyword(s):  
Visual Acuity ◽  
Retinal Detachment ◽  
Silicone Oil ◽  
Vitreoretinal Surgery ◽  
Scleral Buckling ◽  
Oil Removal ◽  
Corrected Visual Acuity ◽  
Silicone Oil Tamponade ◽  
Best Corrected Visual Acuity ◽  
Subretinal Strand

Recurrence of inferior retinal detachment, after vitreoretinal surgery and silicone oil tamponade, along with a subretinal strand, presents a challenge for surgeons. Vitrectomy and retinotomy are the usual treatment in such cases. Here, we present a new transscleral method for addressing this problem. A 13-year-old boy with recurrent retinal detachment after silicone oil tamponade underwent scleral buckling surgery and had a transscleral subretinal strand removed without retinotomy. The retina reattached, and silicone oil was removed 3 months later. The best-corrected visual acuity was 0.4 in decimal vision at 1 year after silicone oil removal. Scleral buckling surgery combined with subretinal strand removal may be used as an alternative to retinotomy, especially for patients with an inferior retinal detachment and local subretinal strand formation.

scholarly journals Outcomes and Prognostic Factors of Posttraumatic Endophthalmitis: A Three-Year Retrospective Study

2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Jian Ma ◽  
Yinhui Yu ◽  
Yueyang Zhong ◽  
Xing Mao ◽  
Xiaoyun Fang
Keyword(s):  
Silicone Oil ◽  
Systemic Disease ◽  
Univariate Analysis ◽  
Visual Outcome ◽  
Ocular Injury ◽  
Visual Outcomes ◽  
Pars Plana ◽  
Silicone Oil Tamponade ◽  
Posttraumatic Endophthalmitis ◽  
Final Visual Outcome

Purpose. To describe the clinical features, management, and outcomes of patients with posttraumatic endophthalmitis (PTE) and to determine risk factors for poor visual prognosis. Methods. We retrospectively reviewed the medical records of 42 consecutive patients presenting with PTE who were treated at our institution between 2017 and 2019. Each patient’s data, including demographic characteristics, ocular injury details, surgical records, patient outcomes, and laboratory results, were collected and analyzed. Multivariate analysis was conducted to determine the factors associated with poor visual outcomes. Results. In our series, male (n = 36, 85.7%) and patients below 60 years of age (20–40 years, 23.8%; 40–60 years, 57.14%) comprised most of the total cohort. On presentation, 39 (92.8%) of the 42 PTE patients presented best-corrected visual acuity (BCVA) worse than counting fingers. Pars plana vitrectomy (PPV) was performed in all the patients. 59.5% (n = 25) of the patients’ BCVA improved after surgery and 33.3% (n = 14) achieved BCVA of 20/200 or better. The rate of evisceration was 7.1% (n = 3). Of the 42 specimens, the culture was positive in 10 (23.8%) eyes. By univariate analysis, factors including sex, occupation, systemic disease, source of trauma, lens injury, silicone oil tamponade, usage of intravitreal antibiotics, BCVA at presentation, and culture positive for any organism did not affect the final visual outcome. The features associated with poor BCVA (grouped as < 20/200 and ≥ 20/200) included older age ( P = 0.035 ), corneal-sclera wound (versus sclera wound) ( P = 0.047 ), retained intraocular foreign bodies (IOFBs) ( P = 0.006 ), treatment > 3 days (versus < 1 day) ( P = 0.033 ), and more times of surgeries ( P = 0.033 ). Conclusions. PTE is a severe complication of penetrating globe injuries associated with irreversible visual loss. Our results highlighted the importance of conducting early therapeutic PPV and IOFB removal to achieve better visual outcomes.

Biomedical Materials to Repair Retinal Detachments

1985 ◽  
Vol 55 ◽  
Author(s):  
Miguel F. Refojo
Keyword(s):  
Retinal Detachment ◽  
Silicone Rubber ◽  
Methyl Acrylate ◽  
Silicone Oil ◽  
Vitreous Body ◽  
Light Sensitivity ◽  
Scleral Buckling ◽  
Intraocular Injection ◽  
Other Substances

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.

Management of a case of Enhanced S-cone syndrome with massive foveoschisis treated with pars plana vitrectomy with silicone oil tamponade

2021 ◽  
pp. 1-4
Author(s):  
Lorane Bechet ◽  
Raphaël Atia ◽  
Christina Zeitz ◽  
Saddek Mohand-Saïd ◽  
José-Alain Sahel ◽  
...  
Keyword(s):  
Pars Plana Vitrectomy ◽  
Silicone Oil ◽  
Pars Plana ◽  
Silicone Oil Tamponade ◽  
Enhanced S Cone Syndrome
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