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Br J Ophthalmol 2003;87:318-321 doi:10.1136/bjo.87.3.318
  • Original Article
    • Clinical science

Vitrectomy with silicone oil infusion in severe diabetic retinopathy

  1. A Castellarin1,
  2. R Grigorian1,
  3. N Bhagat1,
  4. L Del Priore2,
  5. M A Zarbin1
  1. 1Institute of Ophthalmology and Visual Science, NJMS, UMDNJ, USA
  2. 2Department of Ophthalmology, Columbia University, NY, USA
  1. Correspondence to: Marco Zarbin, Institute of Ophthalmology and Visual Science, NJMS, UMDNJ, USA; zarbin{at}umdnj.edu
  • Accepted 16 August 2002

Abstract

Aims: To determine the results of pars plana vitrectomy (PPV) and silicone oil infusion (SOI) in severe proliferative diabetic retinopathy (PDR).

Methods: The records of 23 eyes (21 patients: 12 males, nine females) with PDR who had undergone PPV and SOI were reviewed retrospectively.

Results: Average follow up was 5.4 months (range 1–25). Surgical indications were tractional retinal detachment (TRD) (17.4%), traction-rhegmatogenous retinal detachment (TRRD) (8.7%), TRD with vitreous haemorrhage (VH) (48%), TRD with neovascular glaucoma (NVG) (8.6%), TRD with fibrinoid syndrome (FS) (17.3%). With one operation, the retinal reattachment rate was 17/23 (74%). Among these 23 eyes, 11 (48%) had previously failed vitrectomy, and the retina was attached in 8/11 (73%) with a single procedure. With additional surgery employing PPV and SOI, the final reattachment rate was 20/23 (87%). The only cases with intraocular pressure <5 mm Hg had retinal detachment. Postoperative visual acuity (VA) improved in 10 eyes (44%), was unchanged in three (12%), and decreased in 10 eyes (44%).

Conclusion: SO tamponade is useful in severely diseased eyes with PDR, even in the presence of rubeosis iridis (RI) and NVG, FS, or in cases with previously failed vitrectomy, especially in the presence of RI.

Footnotes

    Responses to this article

    • Authors' Reply
      • Marco A Zarbin, MD, PhD,
      • R Grigorian, MD
      Br J Ophthalmol published online September 14, 2009
    • Silicone oil in diabetic vitrectomy
      • David McLeod
      Br J Ophthalmol published online September 14, 2009

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