Complications of Silicone Oil as Vitreous Tamponade in Pars Plana Vitrectomy: A Mini Review.

IF 1.7 4区医学 Q3 OPHTHALMOLOGY Current Eye Research Pub Date : 2024-10-09 DOI:10.1080/02713683.2024.2409883

Ramon Antunes De Oliveira, Octaviano Magalhaes Junior, Juan Pablo Dos Santos Rossi, Luca Bongiovanni de Miranda Gonçalves, Gabriel Nunes de Figueiredo Cavalcanti, André Maia, Rodrigo Antonio Brant Fernandes, Michel Eid Farah, Mauricio Maia

{"title":"Complications of Silicone Oil as Vitreous Tamponade in Pars Plana Vitrectomy: A Mini Review.","authors":"Ramon Antunes De Oliveira, Octaviano Magalhaes Junior, Juan Pablo Dos Santos Rossi, Luca Bongiovanni de Miranda Gonçalves, Gabriel Nunes de Figueiredo Cavalcanti, André Maia, Rodrigo Antonio Brant Fernandes, Michel Eid Farah, Mauricio Maia","doi":"10.1080/02713683.2024.2409883","DOIUrl":null,"url":null,"abstract":"Purpose: Silicone oil (SO) has been used as a vitreous tamponade for decades. Surgical complications such as glaucoma, cataract, or emulsification are well known. Despite that, increasing case reports of unexplained visual loss after SO removal is concerning because there is no treatment available. This article describes practical complications related to SO use and advantages/disadvantages for consideration regarding the choice of a vitreous substitute in practice.Methods: A literature review was conducted for publications related to silicone oil, heavy silicone oil, and vitreous substitutes.Results: This article summarizes the SO chemical and physical properties including both SO and heavy SO and postoperative complications such as corneal decompensation, glaucoma, hypotony, cataract, optic neuropathy. Surgical complications such as over/underfilling, SO migration/emulsification, sticky SO and proliferative vitreoretinopathy (PVR) simulating epiretinal membranes formation, recurrent retinal detachments, SO unexplained visual loss, and permanent SO, are described. A brief overview on potential vitreous substitutes is presented.Conclusion: The decision to use SO as vitreous substitute in daily practice is based on the severity of retinal diseases and surgeon experience. SO potential complications must not be underestimated. The pursuit of novel safer vitreous substitutes is imperative.","PeriodicalId":10782,"journal":{"name":"Current Eye Research","volume":" ","pages":"1-9"},"PeriodicalIF":1.7000,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Current Eye Research","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/02713683.2024.2409883","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q3","JCRName":"OPHTHALMOLOGY","Score":null,"Total":0}

引用次数: 0

Abstract

Purpose: Silicone oil (SO) has been used as a vitreous tamponade for decades. Surgical complications such as glaucoma, cataract, or emulsification are well known. Despite that, increasing case reports of unexplained visual loss after SO removal is concerning because there is no treatment available. This article describes practical complications related to SO use and advantages/disadvantages for consideration regarding the choice of a vitreous substitute in practice.

Methods: A literature review was conducted for publications related to silicone oil, heavy silicone oil, and vitreous substitutes.

Results: This article summarizes the SO chemical and physical properties including both SO and heavy SO and postoperative complications such as corneal decompensation, glaucoma, hypotony, cataract, optic neuropathy. Surgical complications such as over/underfilling, SO migration/emulsification, sticky SO and proliferative vitreoretinopathy (PVR) simulating epiretinal membranes formation, recurrent retinal detachments, SO unexplained visual loss, and permanent SO, are described. A brief overview on potential vitreous substitutes is presented.

Conclusion: The decision to use SO as vitreous substitute in daily practice is based on the severity of retinal diseases and surgeon experience. SO potential complications must not be underestimated. The pursuit of novel safer vitreous substitutes is imperative.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

硅酮油作为玻璃体填塞物用于玻璃体旁切除术的并发症：小型回顾。

目的：几十年来，硅油（SO）一直被用作玻璃体填塞物。众所周知，手术并发症包括青光眼、白内障或乳化。尽管如此，越来越多的病例报告显示，由于没有治疗方法，在移除 SO 后会出现原因不明的视力下降，这令人担忧。本文介绍了与使用玻璃体替代物相关的实际并发症，以及在实践中选择玻璃体替代物时应考虑的优缺点：方法：对有关硅油、重硅油和玻璃体替代物的出版物进行了文献综述：本文总结了硅油的化学和物理特性，包括硅油和重硅油，以及术后并发症，如角膜失代偿、青光眼、眼压过低、白内障、视神经病变。此外，还介绍了手术并发症，如填充过度/填充不足、SO移位/乳化、SO粘连和增殖性玻璃体视网膜病变（PVR），模拟视网膜外膜形成、复发性视网膜脱离、原因不明的视力丧失和永久性SO。结论：结论：在日常临床实践中，根据视网膜疾病的严重程度和外科医生的经验决定是否使用SO作为玻璃体替代物。SO的潜在并发症不容低估。寻找更安全的新型玻璃体替代物势在必行。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Current Eye Research 医学-眼科学

CiteScore

4.60

自引率

0.00%

发文量

163

审稿时长

12 months

期刊介绍： The principal aim of Current Eye Research is to provide rapid publication of full papers, short communications and mini-reviews, all high quality. Current Eye Research publishes articles encompassing all the areas of eye research. Subject areas include the following: clinical research, anatomy, physiology, biophysics, biochemistry, pharmacology, developmental biology, microbiology and immunology.