TY - JOUR
T1 - Un-explained visual loss following silicone oil removal
T2 - Results of the Pan American Collaborative Retina Study (PACORES) Group
AU - Roca, Jose A.
AU - Wu, Lihteh
AU - Berrocal, Maria
AU - Rodriguez, Francisco
AU - Alezzandrini, Arturo
AU - Alvira, Gustavo
AU - Velez-Montoya, Raul
AU - Quiroz-Mercado, Hugo
AU - Fernando Arevalo, J.
AU - Serrano, Martín
AU - Lima, Luiz H.
AU - Figueroa, Marta
AU - Farah, Michel
AU - Chico, Giovanna
N1 - Publisher Copyright:
© The Author(s) 2017.
PY - 2017/7/24
Y1 - 2017/7/24
N2 - Purpose: To report the incidence and clinical features of patients that experienced un-explained visual loss following silicone oil (SO) removal. Methods: Multicenter retrospective study of patients that underwent SO removal during 2000-2012. Visual loss of ≥2 lines was considered significant. Results: A total of 324 eyes of 324 patients underwent SO removal during the study period. Forty two (13%) eyes suffered a significant visual loss following SO removal. Twenty three (7.1%) of these eyes lost vision secondary to known causes. In the remaining 19 (5.9%) eyes, the loss of vision was not explained by any other pathology. Eleven of these 19 patients (57.9%) were male. The mean age of this group was 49.2 ± 16.4 years. Eyes that had an un-explained visual loss had a mean IOP while the eye was filled with SO of 19.6 ± 6.9 mm Hg. The length of time that the eye was filled with SO was 14.8 ± 4.4 months. In comparison, eyes that did not experience visual loss had a mean IOP of 14 ± 7.3 mm Hg (p < 0.0002) and a mean tamponade duration of 9.3 ± 10.9 months (p < 0.0001). Conclusions: An un-explained visual loss after SO removal was observed in 5.9% of eyes. Factors associated with this phenomenon included a higher IOP and longer SO tamponade duration.
AB - Purpose: To report the incidence and clinical features of patients that experienced un-explained visual loss following silicone oil (SO) removal. Methods: Multicenter retrospective study of patients that underwent SO removal during 2000-2012. Visual loss of ≥2 lines was considered significant. Results: A total of 324 eyes of 324 patients underwent SO removal during the study period. Forty two (13%) eyes suffered a significant visual loss following SO removal. Twenty three (7.1%) of these eyes lost vision secondary to known causes. In the remaining 19 (5.9%) eyes, the loss of vision was not explained by any other pathology. Eleven of these 19 patients (57.9%) were male. The mean age of this group was 49.2 ± 16.4 years. Eyes that had an un-explained visual loss had a mean IOP while the eye was filled with SO of 19.6 ± 6.9 mm Hg. The length of time that the eye was filled with SO was 14.8 ± 4.4 months. In comparison, eyes that did not experience visual loss had a mean IOP of 14 ± 7.3 mm Hg (p < 0.0002) and a mean tamponade duration of 9.3 ± 10.9 months (p < 0.0001). Conclusions: An un-explained visual loss after SO removal was observed in 5.9% of eyes. Factors associated with this phenomenon included a higher IOP and longer SO tamponade duration.
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U2 - 10.1186/s40942-017-0079-6
DO - 10.1186/s40942-017-0079-6
M3 - Research Article
AN - SCOPUS:85046785288
SN - 2056-9920
VL - 3
JO - International Journal of Retina and Vitreous
JF - International Journal of Retina and Vitreous
IS - 1
M1 - 26
ER -