Abstract | AIM: DESIGN: A prospective consecutive interventional case series from seven study centres. PARTICIPANTS: METHOD: Patients were divided into two groups: (1) 28 eyes which had not been operated on before; (2) 41 eyes affected by recurrent retinal detachment that had had unsuccessful previous surgery with silicone oil or gas tamponade. A pars plana vitrectomy, membrane peeling and -- when necessary -- a retinotomy were performed; the vitreous cavity was filled with two thirds of F(6)H(8) and one third of silicone oil 1,000 mPas (double filling, DF). The endotamponade was removed after 30-45 days (median 38) and replaced by balanced salt solution or silicone oil according to the condition of the retina. RESULTS:
Retinal reattachment was achieved in 52 out of 69 cases (75%) 6 months after removal of the DF without any endotamponade. CONCLUSION: The DF with F(6)H(8) and silicone oil allows a good endotamponading to the inferior retina and the posterior pole. The DF appeared to be well tolerated. Further studies are necessary to evaluate whether a DF is advantageous in respect to silicone oil filling alone in case of retinal breaks and PVR of the inferior retina.
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Authors | Stanislao Rizzo, Federica Genovesi-Ebert, Claudia Belting, Flavio Foltran, Enrico Gandolfo, Guido Lesnoni, Ermanno Dell'omo, Stefano Zenoni, Marco Azzolini, Vito De Molfetta |
Journal | Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift fur Augenheilkunde
(Ophthalmologica)
2005 May-Jun
Vol. 219
Issue 3
Pg. 147-53
ISSN: 0030-3755 [Print] Switzerland |
PMID | 15947500
(Publication Type: Journal Article, Multicenter Study)
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Chemical References |
- Fluorocarbons
- Silicone Oils
- perfluorohexyl-octan
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Topics |
- Adult
- Aged
- Drug Therapy, Combination
- Female
- Fluorocarbons
(administration & dosage)
- Humans
- Intraoperative Complications
- Male
- Middle Aged
- Pilot Projects
- Prospective Studies
- Retinal Detachment
(surgery)
- Retinal Perforations
(surgery)
- Silicone Oils
(administration & dosage)
- Visual Acuity
- Vitrectomy
(methods)
- Vitreoretinopathy, Proliferative
(surgery)
- Vitreous Body
(drug effects)
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