J Korean Ophthalmol Soc.  2001 Mar;42(3):428-434.

A Clinical Study on the Silicone Oil in the Treatment of Proliferative Diabetic Retinopathy

• Oum BS
• Lim DW

Abstract

PURPOSE: To evaluate the surgical results and complications in vitrectomy with silicone oil tamponade for the treatment of proliferative diabetic reitnopathy(PDR).
METHODS
Vitreous microsurgery with silicone oil tamponade was performed on 21 patients with advanced proliferative diabetic retinopathy.
RESULTS
Anatomic attachment was maintained in 19 eyes(90.5%). Functional success with visual acuity 0.02 or better was found in 17 eyes(81.0%). Functional failures were caused by retinal detachment in 2 eyes and glaucoma in 2 eyes. Complications of silicone oil included cataract in 8 of 14 phakic eyes(57.1%), epiretinal proliferation in 7 of 21 eyes(33.3%), retinal detachment in 6 eyes(28.6%), silicone oil in anterior chamber in 3 eyes(14.3%), secondary glaucoma in 2 eyes(9.5%), and emulsification of silicone oil in 2 eyes(9.5%).
CONCLUSION
Vitrectomy with silicone oil was highly effective in advanced proliferative diabetic retinopathy and early removal of silicone oil was recommended to reduce the complications of silicone oil.

Keyword

Proliferative diabetic retinopathy; Retinal detachment; Silicone oil

MeSH Terms

Anterior Chamber
Cataract
Diabetic Retinopathy*
Glaucoma
Humans
Microsurgery
Retinal Detachment
Silicone Oils*
Visual Acuity
Vitrectomy
Silicone Oils