Journal article
Unexplained Vision Loss Associated With Intraocular Silicone Oil Tamponade in Rhegmatogenous Retinal Detachment Repair
Journal of VitreoRetinal Diseases, Vol.7(4), pp.299-304
07/2023
DOI: 10.1177/24741264231161121
PMCID: PMC10621697
PMID: 37927311
Abstract
Purpose: To evaluate the visual outcomes with unexplained vision loss during or after silicone oil (SO) tamponade. Methods: This multicenter retrospective case series comprised patients with unexplained vision loss associated with SO tamponade or its removal. Eyes with other clear secondary identifiable causes of vision loss were excluded. Results: Twenty-nine eyes of 28 patients (64% male) were identified. The mean age was 50 ± 13 years (range, 13-78 years). The mean duration of SO tamponade was 148 ± 38 days. Eighteen eyes (62%) developed unexplained vision loss while under SO; 11 (38%) had vision loss after SO removal. The most common optical coherence tomography (OCT) finding was ganglion cell layer (GCL) thinning (55%). Eyes with vision loss after SO removal had a mean logMAR best-corrected visual acuity (BCVA) of 0.6 ± 0.7 (Snellen 20/85) before SO tamponade and 1.2 ± 0.4 (20/340) before SO removal. By the last follow-up after SO removal, the BCVA had improved to 1.1 ± 0.4 (20/235). In eyes with vision loss after SO removal, the BCVA before SO removal was 0.7 ± 0.7 (20/104), which deteriorated to 1.4 ± 0.4 (20/458) 1 month after SO removal. By the last follow-up, the BCVA had improved to 1.0 ± 0.5 (20/219). Conclusions: Unexplained vision loss can occur during SO tamponade or after SO removal. Vision loss was associated with 1000-centistoke and 5000-centistoke oil and occurred in macula-off and macula-on retinal detachments. The duration of tamponade was 3 months or longer in the majority of eyes. Most eyes had GCL thinning on OCT. Gradual visual recovery can occur yet is often incomplete.
Details
- Title: Subtitle
- Unexplained Vision Loss Associated With Intraocular Silicone Oil Tamponade in Rhegmatogenous Retinal Detachment Repair
- Creators
- Parastou Pakravan - University of MiamiAbdulla Shaheen - University of MiamiVeshesh Patel - University of MiamiMaria F. Villalba - University of MiamiBernard Dib - University of Alabama at BirminghamJames Lai - University of MiamiLandon Rohowetz - University of MiamiViet Chau - University of MiamiNimesh A. Patel - Massachusetts Eye and Ear InfirmaryJonathan H. Tzu - Retina and Vitreous of Texas, Houston, TX, USAAngeline L. Wang - The University of Texas Southwestern Medical CenterSandra Alhoyek - Massachusetts Eye and Ear InfirmaryNathan Scott - University of MiamiWasim A. Samara - University of Alabama at BirminghamLediana Goduni - University of MiamiJesse J. Jung - University of California, San FranciscoJonathan F. Russell - University of IowaDimosthenis Mantopoulos - Dartmouth CollegeAmir R. Hajrasouliha - Indiana UniversityBrian T. Savoie - Brown UniversityLuis J. Haddock - University of MiamiAudina M. Berrocal - University of MiamiJayanth Sridhar - University of MiamiMatthew R. West - University of Alabama at BirminghamNicolas A. Yannuzzi - University of Miami
- Resource Type
- Journal article
- Publication Details
- Journal of VitreoRetinal Diseases, Vol.7(4), pp.299-304
- DOI
- 10.1177/24741264231161121
- PMID
- 37927311
- PMCID
- PMC10621697
- NLM abbreviation
- J Vitreoretin Dis
- ISSN
- 2474-1264
- eISSN
- 2474-1272
- Publisher
- SAGE Publications
- Language
- English
- Electronic publication date
- 06/10/2023
- Date published
- 07/2023
- Academic Unit
- Ophthalmology and Visual Sciences
- Record Identifier
- 9984428711402771
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