Abstract

Objective To discusses the postoperative complications, the retina reset condition and the vision change of the rhegmatogenous retinal detachment silicone oil injection. Methods A retrospective case series. Fifty-three patients (53 eyes) with silicone oil removal surgery due to rhegmatogenous retinal detachment in Department of Ophthalmology of Shanghai First People's Hospital of Shanghai Jiaotong University were selected from March 2015 to February 2016. The data of best corrected visual acuity, ocular complications and retinal restoration during silicone oil filling and within 3 months after oil extraction were observed. Results During the silicone oil injection, 22 cases (41.5%) were once found to have the secondary glaucoma, 15 cases (34.9%) were found to have an obvious phacoscotasmus, 8 cases (5.1%) were found to have an obvious silicone oil emulsification, 12 cases were found to have BCVA diminution. After the removal of silicone oil, 2 cases (3.8%) were found to have vitreous opacity, 1 case (2.0%) was found to have a little hyphema, 1 case (2.0%) was found to have complicated cataract 2 months after the operation, 1 case (2.0%) was found to have intraocular inflammation 1 week after the operation, 1 case (2.0%) was found to have intraocular hypertension after the operation but the complication got better after treatments. There was no statistic difference of BCVA 3 months after the removal of silicone oil comparing with the BCVA during the silicone oil injection (n =51, t =-1.147, P =0.257). There were 2 other cases found to have great diminution of vision during the silicone oil injection with unknown causes. Conclusions The silicone oil injection is an effective method in curing the complicated retinal detachment. Most of the complication caused by the silicone oil can be treated and prevented. But there are few cases are found to have diminution of vision with unknown causes. Key words: Rhegmatogenous Retinal Detachment; Silicone Oil; Complications

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