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Abstract #8845 Published in IGR 5-1

The influence of silicone oil removal on intraocular pressure

Wesolek-Czernik A
Klinika Oczna 2002; 104: 219-221


PURPOSE: The aim of this study was to evaluate the influence of silicone oil removal on intraocular pressure (IOP). MATERIAL AND METHODS: The material consisted of 98 patients (104 eyes), who underwent vitrectomy with silicone oil tamponade. Sixteen eyes in this group were aphakic before vitrectomy. The mean duration of silicone-oil tamponade was 8.8 months. The authors examined and compared IOP in all cases before vitrectomy, during tamponade, and after silicone oil removal. RESULTS: The increased IOP (> 22 mmHg) was found in 27 eyes (seven of which were aphakic) during tamponade. The authors had to remove silicone oil due to glaucoma in six eyes (three of which were aphakic). In nine eyes (four aphakic) IOP was higher than 22 mmHg after silicone oil removal. Seven patients required additional topical medication and two were qualified for operation: trabeculectomy. Hypotony (< 10 mmHg) was observed in 11 eyes, and it coexisted with retinal redetachment in four cases. CONCLUSIONS: Increased IOP is a frequent complication of silicone oil tamponade, but it normalizes after silicone oil removal in most of these cases.LA: Polish

Dr. A. Wesolek-Czernik, Katedry i Kliniki Chorob Oczu Akademii Medycznej w Lodzi, Poland


Classification:

9.4.11.5 Glaucomas associated with vitreoretinal surgery (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders > 9.4.11 Glaucomas following intraocular surgery)



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