Journal List > J Korean Ophthalmol Soc > v.53(9) > 1009168

J Korean Ophthalmol Soc. 2012 Sep;53(9):1296-1303. Korean.
Published online September 17, 2012.  https://doi.org/10.3341/jkos.2012.53.9.1296
Copyright © 2012 The Korean Ophthalmological Society
Surgical Outcome and Significance of Silicone Oil Tamponade for Inferior Rhegmatogenous Retinal Detachment
Sang Jin Seo, MD,1 Soo Jung Lee, MD, PhD,2 and Jung Min Park, MD, PhD1
1Department of Ophthalmology, Maryknoll Hospital, Busan, Korea.
2Department of Ophthalmology, Inje University Haeundae Paik Hospital, Inje University College of Medicine, Busan, Korea.

Address reprint requests to Jung Min Park, MD, PhD. Department of Ophthalmology, Maryknoll Hospital, #121 Junggu-ro, Jung-gu, Busan 600-730, Korea. Tel: 82-51-461-2469, Fax: 82-51-462-3534, Email: pjm1438@hanmail.net
Received October 17, 2011; Accepted July 21, 2012.

Abstract

Purpose

To compare the surgical outcomes of 23-gauge transconjunctival sutureless vitrectomy (TSV) with silicone oil tamponade versus 20-gauge PPV with sclera buckling (SB) and SF6 gas tamponade for the repair of rhegmatogenous retinal detachment (RRD) with inferior breaks. In addition, silicone oil tamponade was evaluated as an alternative option for patients with inferior RRD.

Methods

Two different types of surgery were performed on two groups of patients with inferior RRD: 23-gauge TSV with silicone oil tamponade (group 1) and 20-gauge PPV with SB and SF6 gas tamponade (group 2). The preoperative clinical features, anatomical success rate, complications, functional outcomes (visual acuity, VA, intraocular pressure, IOP), and surgical time were retrospectively evaluated.

Results

The primary surgical success rates were 94% and 78% in groups 1 and 2, respectively. The final success rate was 100% in both groups. Therefore, in terms of success rate, there was no difference between the two groups. No statistically significant difference in IOP change or complication rate was observed between the two groups. VA change was significantly better and surgical time was shorter in group 1.

Conclusions

No statistically significant difference of anatomical success rate or complication rate between 23-gauge TSV with silicone oil tamponade and 20-gauge PPV with SB and SF6 gas tamponade was found for inferior RRD. However, surgical time was shorter in group 1. A 23-gauge TSV with silicone oil tamponade could be an alternative to 20-gauge PPV with SB and SF6 gas tamponade for patients with inferior RRD, especially patients who cannot maintain a prone posture.

Keywords: Inferior rhegmatogenous retinal detachment; Scleral buckling; Silicone oil tamponade; 23-gauge transconjunctival sutureless vitrectomy

Tables


Table 1
Inclusion and exclusion criteria
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Table 2
Retinal drawings and retinal breaks features - (Group 1: 23G PPV, silicone oil tamponade)
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Table 3
Preoperative demographic characteristics
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Table 4
Anatomical failure case and reoperation
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Table 5
Anatomical and functional outcomes
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