Surgical Outcomes and Related Factors to Patients Treated with Silicone Oil Tamponade After Rhegmatonegous Retinal Detachment


SCIENTIFIC POSTER

Surgical Outcomes and Related Factors to Patients Treated with Silicone Oil Tamponade After Rhegmatonegous Retinal Detachment by Erkan Unsal, Belma Karini, Kadir Eltutar, Turkey


ABSTRACT

Objective:

To evaluate our surgical results of rhegmatonegous retinal detachment (RRD) patients treated with silicone oil tamponade and to investigate factors determining postoperative visual acuity (VA).

Materials & Methods:

This retrospective study includes RRD cases treated with silicone oil tamponade which were evaluated in terms of anatomical and functional success, complications and associated factors.

Results:

Sixty five eyes of 65 patients were included in this study. İn 36 (%55,4) eyes pars plana vitrectomy (PPV), in 1 (%1,5) eye PPV + scleral buckle, and in 28 (%43,1) eyes phacoemulsification and intraocular lens implantation+ PPV was performed. Mean LogMAR, which was 2,6 ± 0,8 (0,2-3,1) preoperatively, decreased to 1,2 ± 0,7 (0,1-3,1), (P < 0.001). The most common related factors to RRD were: pseodophakia (%32), iatrogenic retinal break (%13.8) from the group of intraoperative complications, high İOP (%46.2) from the group of postoperative complications. There was significant negative relationship between postoperative BCVA (Log MAR) and the follow-up time (r= -0,397, p=0,001). In the model developed to investigate factors that determine the postoperative BCVA; follow-up time, preop BCVA, anatomic success and ERM were determined as the most significant factors (respectively; p<0,001, p=0,008, p=0,001, p=0,002). Mean percentage change in BCVA of phakic patients compared to pseudophakic ones was statistically significant (p=0,023).

Conlusions:

Combined PPV with silicone oil tamponade in the treatment of patients with RRD is an effective and safe treatment option with acceptable complications. Initial visual acuity, follow-up time, ERM are related factors to the last BCVA.


CONTACT DETAILS

 

Erkan Unsal
Istanbul, Turkey
Email : erkanunsal@gmail.com
Cell Phone: +905052382250
Work Phone: +905052382250