Comparison of diagnostic and surgical features of silicone oil filled eyes epiretinal membrane with idiopathic epiretinal membranes

2020 ◽  
Vol 13 (4) ◽  
pp. 155-158
Author(s):  
Farukh Jameel ◽  
Khawaja Mohsin Ihsan ◽  
Saqib Siddiq ◽  
Khalid Waheed ◽  
Intzar Hussain Butt ◽  
...  

Background: Epiretinal membranes are avascular, fibrocellular membranes which develop on the inner most layer of the retina. These membranes can be idiopathic or secondary to the silicone oil injection after pars plana vitrectomy in patients with rhegmatogenous retinal detachment. When symptomatic, such membranes can cause decreased vision, visual distortion and sometimes diplopia. The purpose of this study was to compare the idiopathic epiretinal membranes versus silicone oil filled eyes epiretinal membranes in terms of their diagnostic and surgical features. Material and methods: The study was conducted at the Department of Ophthalmology, Services Hospital Lahore where 13 eyes with idiopathic epiretinal membranes (ERMs) and 13 eyes with silicone oil filled eyes epiretinal membranes (SOERMs) were evaluated from August 2017 to April 2019. The main diagnostic outcome was the preoperative Optical Coherence Tomographic (OCT) findings and main surgical outcome was peroperative time required for removal of epiretinal membranes. Results: Mean central retinal thickness of patients with SOERMs on OCT was 530.30µm, which was recorded one day before surgery. It was greater as compared to the central retinal thickness in patients with idiopathic ERMs which was 391.92 µm. The mean time required for the removal of SOERMs was 466.38 seconds. It was longer as compared to the time required to remove idiopathic ERMs which was 385.69 seconds. Conclusion: The SOERMs are relatively difficult to remove due to increased thickness and more adherent nature as compared to idiopathic ERMs which were single layer and relatively easy to remove.

Retina ◽  
2010 ◽  
Vol 30 (1) ◽  
pp. 140-145 ◽  
Author(s):  
RASHMI KAPUR ◽  
ANDREA D. BIRNBAUM ◽  
DEBRA A. GOLDSTEIN ◽  
HOWARD H. TESSLER ◽  
MICHAEL J. SHAPIRO ◽  
...  

2020 ◽  
Vol 11 (2) ◽  
pp. 217-221
Author(s):  
Mohammad Sharifi ◽  
Mohammad Reza Ansari Astaneh

A 7-year-old female presented with left upper eyelid swelling following pars plana deep vitrectomy and silicone oil injection 1 year before admission. The left upper eyelid had mechanical ptosis and on palpation there was a lobulated mobile mass in the lateral portion of eyelid. Computed topography scan showed multiple isodense masses with silicone oil in vitreous in the eyelid and orbit; histopathology after excisional biopsy proved the silicone oil migration. Silicone oil migration followed by vitrectomy may be due to leakage from the site of initial wounds or vitrectomy ports. It is important to suspect extraocular silicone oil migration in patients who presented with eyelid mass-like lesions with a history of silicone oil injection following pars plana deep vitrectomy.


2018 ◽  
Vol 240 (3) ◽  
pp. 129-134 ◽  
Author(s):  
Elyse Jabbour ◽  
Georges Azar ◽  
Joelle Antoun ◽  
Hampig Raphael Kourie ◽  
Youssef Abdelmassih ◽  
...  

Ophthalmology ◽  
1999 ◽  
Vol 106 (1) ◽  
pp. 169-177 ◽  
Author(s):  
Santosh G Honavar ◽  
Mallika Goyal ◽  
Ajit Babu Majji ◽  
Pranab Kumar Sen ◽  
Thomas Naduvilath ◽  
...  

2021 ◽  
Author(s):  
Gergely Zobor ◽  
Stefan Sacu ◽  
Marlene Hollaus ◽  
Leyla Aliyeva ◽  
Alexandra-Stephanie Schmalek ◽  
...  

2016 ◽  
Vol 21 (4) ◽  
pp. 219 ◽  
Author(s):  
Tehmina Jahangir ◽  
Haroon Tayyab ◽  
Muhammad Naeem ◽  
Qasim Lateef ◽  
Asad Aslam Khan

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.


Viral retinitis of which incidence is 0.63/1000000 per year, is necrotizing, vaso-occlusive retinopathy. In practice, 90 % of cases are acute retinal necrosis in which etiological agents are Varicella-Zoster Virus and Herpes Simplex Virus and Cytomegalovirus retinitis. 65 % of patients with viral retinitis develop a retinal detachment. Retinal detachment due to viral retinitis is almost-always rhegmatogenous and tractional and associated with proliferative vitreoretinopathy. Pars plana vitrectomy combined with silicone oil injection is the most commonly used techniques for the treatment of retinal detachment associated with viral retinitis. Optic atrophy, chronic cystoid macular edema, epiretinal membrane, proliferative vitreoretinopathy, and hypotony are the most commonly seen complications that are limiting functional improvement.


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