The Clinical Results of Silicone Oil Tamponade in Pars Plana Vitrectomy for Various Vitreoretinal Diseases. |
Min Cheol Seong, Hye Won Chung, Sun Young Lee, June Gone Kim, Young Hee Yoon |
Department of Ophthalmology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea. yhyoon@amc.seoul.kr |
실리콘기름 안내충전술을 시행받은 다양한 유리체망막질환 환자들의 임상 경과 고찰 |
성민철,정혜원,이선영,김중곤,윤영희 |
Department of Ophthalmology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea |
Correspondence:
Young Hee Yoon, M.D. |
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Abstract |
PURPOSE This study aimed to report anatomic and visual acuity outcomes after 5000-centistoke silicone oil was used as a retinal tamponade for the treatment of various causes of vitreoretinal diseases. METHODS: Two hundred ten eyes of 196 patients who had undergone vitrectomy with silicone oil between 1995 and 2004 were reviewed retrospectively. According to etiology, the eyes were divided into five groups : (1) Group 1 included 60 eyes associated with proliferative diabetic retinopathy, (2) Group 2 included 90 eyes associated with proliferative vitreoretinopathy, (3) Grouop 3 included 30 eyes associated with trauma, (4) Group 4 included 13 eyes associated with infection or other inflammatory disease, (5) Group 5 included 17 eyes associated with submacular hemorrhage or etc. Anatomic outcomes included complete retinal attachment and macular attachment. Visual acuity outcomes included ambulatory vision (> or =4/200) and preservation of preoperative visual acuity. RESULTS: At the last examination, the retina was completely attached in 98.1% of cases in Group 1, 98.9% Group 2, 82.6% Group 3, 83.3% Group 4 and 100% Group 5. The macula was attached in 98.1%, 98.9%, 87.0%, 100%, and 100% eyes, respectively. Ambulatory vision was achieved in 28 eyes (46.7%) in Group 1, 50 eyes (55.6%) in Group 2, 9 eyes (30.5%) in Group 3, 8 eyes (61.5%) in Group 4, and 6 eyes (35.3%) in Group 5. CONCLUSIONS: Vitrectomy with 5000-centistoke silicone oil tamponade is an effective method in the management of vitreoretinal diseases with multiple etiologies. |
Key Words:
Anatomic Outcomes;Silicone Oil Tamponade;Visual Acuity Outcomes |
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