gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

Results after Oxane HD® internal tamponade in patients with complicated retinal detachment

Meeting Abstract

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  • corresponding author H. Gerding - Augenklinik der Universität Münster, Münster
  • N. Stupp - Augenklinik der Universität Münster, Münster

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogSO.01.06

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dog2004/04dog408.shtml

Veröffentlicht: 22. September 2004

© 2004 Gerding et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielf&aauml;ltigt, verbreitet und &oauml;ffentlich zug&aauml;nglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective

It was the aim of this study to analyze the efficacy and complications of internal tamponade applying Oxane HD® in a group of patients with complicated retinal detachment.

Methods

Between July, 1st, 2003 and February, 28th, 2004 Oxane HD® was applied in 24 patients (24 eyes, f=11, m=13, median age: 60.5 years, range: 40-84) with a desired internal tamponade effect in the lower quadrants (13 eyes with previous retinal/vitreoretinal interventions, 9 eyes phakic, 12 eyes aphakic, idiopathic PVR 20, PDVR 3, and traumatic PVR 1). Median follow-up was 4 months (range: 2-8). All patients were instructed to regard adequate head positioning during postoperative treatment.

Results

Primary retinal attachment was achieved in 20 of 24 eyes (83 %). During follow-up 7 eyes developed redetachment as a consequence of secondary proliferations. Underfilling was observed in 3 eyes and was corrected during reinterventions. 10 of 20 eyes with reinterventions were presenting an extensive membrane interface between internal tamponade and retina. In 5 eyes this interface presented neovascularization. Oxane HD® was removed in 16 eyes (median duration of internal tamponade 107 days, range 40-234) so far. In 3 of these eyes Oxane HD® was exchanged against Oxane 5700®. Retinal findings at the end of follow-up were categorized as: complete attachment 19 of 20, partial detachment 1 of 20, total detachment 0 of 20. The following complications were observed: significant dispersion of Oxane HD® 2 of 20, transient ocular hypertension (>25 mm Hg) 3 of 20, permanent hypertension or hypotony 0 of 20, intensive adhesion of Oxane HD® at lens/pseudophakos at the time of removal in 6 eyes.

Conclusions

Use of Oxane HD® was uncomplicated concerning secondary effects like dispersion, hypertension, and hypotony. During the period of internal tamponade a relatively high rate of redetachments and severe interface membrane formation (partially vascularized) were observed. The latter should be critically considered when indicating the use of Oxane HD® for internal tamponade in cases with complicated retinal detachment.