POST-EVACUATION OF SILICONE OIL COMPLICATIONS IN RHEGMATOGENOUS RETINAL DETACHMENT PATIENTS WHO UNDERWENT PARS PLANA VITRECTOMY AT TERTIARY HOSPITAL IN BALI, INDONESIA

Ariani Andayani, I. Made, Dwi Surya Wibawa, Ni Made, Ari Suryathi, Anak Agung, Mas Putrawati Triningrat, Ida Bagus, Putra Manuaba
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Abstract

Introduction: Pars plana vitrectomy with silicone oil injection has become a standard procedure to treat retinal detachment with complex cases. Considerations related to the use of silicone oil are the need for additional surgical procedures to remove silicone oil after the retinal condition is declared stable or because emulsification of silicone oil has occurred. Methods: An analytical observational study with a cross-sectional approach. Data were collected retrospectively by collecting medical records of patients who underwent silicone oil evacuation in 2021. Result: The research subjects were 23 people, where 52.2% of the subjects were women with a median age of 51 years. Most of the subjects (65.2%) had no complications, with the most complications occurring were secondary glaucoma (13%) and redetached retina (13%). There was no statistically significant difference between visual acuity before and after the evacuation of silicone oil with a P value of 0.202 and there was no statistically significant difference between IOP before and after evacuation of silicone oil with a P value of 0.132. Conclusion: Evacuation of silicone oil is a follow-up action after PPV with SO tamponade. Complications which may arise are detach dan glaucoma. There was no significant difference in visual acuity and IOP before and after SO evacuation.
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印度尼西亚巴厘岛三级医院行玻璃体切割手术的孔源性视网膜脱离患者术后硅油并发症的观察
玻璃体切割加硅油注射已成为治疗复杂病例视网膜脱离的标准手术方法。与使用硅油有关的考虑因素是,在宣布视网膜状况稳定或硅油乳化发生后,需要进行额外的外科手术以去除硅油。方法:采用横断面方法进行分析性观察研究。回顾性收集2021年进行硅油抽吸的患者病历资料。结果:研究对象23人,其中女性占52.2%,中位年龄51岁。大多数患者(65.2%)无并发症,并发症发生率最高的是继发性青光眼(13%)和视网膜再脱离(13%)。硅油抽吸前后视力差异无统计学意义,P值为0.202;硅油抽吸前后IOP差异无统计学意义,P值为0.132。结论:硅油的排出是PPV合并SO填塞后的随访措施。可能出现的并发症是分离性青光眼。术后两组患者的视敏度和眼压无明显差异。
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