Artikel
Results after Oxane HD® internal tamponade in patients with complicated retinal detachment
Suche in Medline nach
Autoren
Veröffentlicht: | 22. September 2004 |
---|
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.