A Clinical Study on the Silicone Oil in the Treatment of Proliferative Diabetic Retinopathy.

Oum, Boo Sup; Lim, Dae Won

Original Article

Journal of the Korean Ophthalmological Society 2001;42(3):428-434.
Published online March 1, 2001.

A Clinical Study on the Silicone Oil in the Treatment of Proliferative Diabetic Retinopathy.

Boo Sup Oum, Dae Won Lim

Department of Ophthalmology, College of Medicine, Busan National University, Busan, Korea.

증식당뇨망막병증 수술에서 실리콘기름 사용의 임상분석

엄부섭(Boo Sup Oum),임대원(Dae Won Lim)

Abstract

PURPOSE
To evaluate the surgical results and complications in vitrectomy with silicone oil tamponade for the treatment of proliferative diabetic reitnopathy(PDR). METHODS: Vitreous microsurgery with silicone oil tamponade was performed on 21 patients with advanced proliferative diabetic retinopathy. RESULTS: Anatomic attachment was maintained in 19 eyes(90.5%). Functional success with visual acuity 0.02 or better was found in 17 eyes(81.0%). Functional failures were caused by retinal detachment in 2 eyes and glaucoma in 2 eyes. Complications of silicone oil included cataract in 8 of 14 phakic eyes(57.1%), epiretinal proliferation in 7 of 21 eyes(33.3%), retinal detachment in 6 eyes(28.6%), silicone oil in anterior chamber in 3 eyes(14.3%), secondary glaucoma in 2 eyes(9.5%), and emulsification of silicone oil in 2 eyes(9.5%). CONCLUSION: Vitrectomy with silicone oil was highly effective in advanced proliferative diabetic retinopathy and early removal of silicone oil was recommended to reduce the complications of silicone oil.

Key Words: Proliferative diabetic retinopathy;Retinal detachment;Silicone oil