High-density silicone oil Densiron-68 as an intraocular tamponade for primary inferior retinal detachments.

Abstract

PURPOSE:

To evaluate the effectiveness and safety of the heavy silicone oil Densiron-68 as an internal retinal tamponade after vitrectomy in patients with primary inferior rhegmatogenous retinal detachment.

METHODS:

A retrospective consecutive case series involving inferior rhegmatogenous retinal detachment in 42 patients recruited between 2007 and 2010 was completed. All patients underwent primary vitrectomy followed by injection of Densiron-68. Each patient was then examined at 1 week, 1 month, 3 months, and 6 months after its removal. Included patients had a rhegmatogenous retinal detachment with at least 1 retinal break between 4 and 8 clock hours and completed 6 months of follow-up after removal of Densiron-68. Assessments for reattachment of the retina, visual acuity, and any complications from the surgery were recorded.

RESULTS:

Thirty-nine of 42 patients completed all follow-up visits. Anatomical success was achieved in 85% (33 of 39) of cases with one procedure, increasing to 95% (37 of 39) with additional surgery. The mean visual acuity improved from mean logarithm of the minimum angle of resolution of 1.29 ± 0.61 preoperatively to 0.87 ± 0.67 postoperatively. The most common complications were cataracts (83%, 10 of 12), posterior capsular opacification (22%, 6 of 27), and ocular hypertension (15%, 6 of 39).

CONCLUSION:

High anatomical success rates can be achieved with primary vitrectomy for inferior rhegmatogenous retinal detachment with the use of Densiron-68.

• Authors: Steve D Levasseur, Steven Schendel, Robert W A Machuck, Dhar Dhanda
• Journal: Retina (Philadelphia, Pa.) (Retina) Vol. 33 Issue 3 Pg. 627-33 (Mar 2013) ISSN: 1539-2864 [Electronic] United States
• PMID: 23222394 (Publication Type: Journal Article)

Chemical References

• Silicone Oils
• densiron-68

Topics

• Adult
• Aged
• Aged, 80 and over
• Combined Modality Therapy
• Drainage (methods)
• Endotamponade
• Female
• Follow-Up Studies
• Humans
• Male
• Middle Aged
• Retinal Detachment (physiopathology, surgery)
• Retrospective Studies
• Silicone Oils (administration & dosage)
• Treatment Outcome
• Visual Acuity (physiology)
• Vitrectomy