gms | German Medical Science

102. Jahrestagung der DOG

Deutsche Ophthalmologische Gesellschaft e. V.

23. bis 26.09.2004, Berlin

Tamponade with heavy silicone oil (Oxane Hd) for retinal detachement with inferior pathology and poor prognosis

Meeting Abstract

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  • corresponding author H. G. Sachs - University-Eye-Clinic Regensburg, Germany
  • F. Gora - University-Eye-Clinic Regensburg, Germany
  • C. P. Lohmann - University-Eye-Clinic Regensburg, Germany
  • V.-P. Gabel - University-Eye-Clinic Regensburg, Germany

Evidenzbasierte Medizin - Anspruch und Wirklichkeit. 102. Jahrestagung der Deutschen Ophthalmologischen Gesellschaft. Berlin, 23.-26.09.2004. Düsseldorf, Köln: German Medical Science; 2004. Doc04dogSO.01.09

Die elektronische Version dieses Artikels ist vollständig und ist verfügbar unter: http://www.egms.de/de/meetings/dog2004/04dog411.shtml

Veröffentlicht: 22. September 2004

© 2004 Sachs 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

The use of standard silicon oil is limited in cases of inferior pathology. Heavier tamponade media are therefore of enormous clinical interest in complex retinal detachment surgery.

Methods

20 patients with prior retinal detachment surgery PVR development and inferior pathology were treated with heavy silicon oil (Oxane Hd; Bausch & Lomb). Included in the study were patients with complex PVR-detachments, inferior retinal pathologies and poor prognosis. The follow-up period was up to 12 month.

Results

The reattachment rate was 14/20 3 month post surgery with heavy silicone oil. A failiure of reattachment was reported in 6 out of the 20 treated patients. 4 had successful reattachment with one additional surgical invention. 6 patients showed transient IOP elevations. In one case the silicone oil went cloudy which was assigned in laboratory investigations to intraoperative used and incomplete removed PFCL liquid.

Conclusions

All patients showed good tolerance of the substance. Increased attention should be focused on physical side effects of the different substances in use during surgery to guarantee a complete removal of PFCL. In our opinion this does not limit the use of the substance. Over all a good rate of retinal reattachment was registered for these unfavourable clinical starting position.