STAINING-ASSISTED REMOVAL OF SILICONE OIL FOR THE IDENTIFICATION OF SUBCLINICAL PROLIFERATIVE VITREORETINOPATHY. Issue 11 (November 2017)

• Record Type: Journal Article
• Authors: Rizzo, Stanislao; Barca, Francesco; Faraldi, Francesco; Caporossi, Tomasso; Virgili, Gianni
• Is Part Of: Retina. Volume 37:Issue 11(2017:Nov.)
• Publication Date: 2017-11
• Subjects: removal of silicone oil -- vital stains -- staining -- proliferative vitreoretinopathy -- retinal detachment -- retinal redetachment; Retina -- Diseases -- Periodicals; Retinal Diseases; Vitreous Body; 617.735
• DOI: 10.1097/IAE.0000000000001441
• Languages: English
• ISSNs: 0275-004X

Abstract

Abstract : Purpose: Retinal detachment is a frequent complication after removal of silicone oil (ROSO). A retrospective study was conducted to determine whether staining-assisted removal of silicone oil (st-ROSO) allowed better identification and removal of proliferative vitreoretinopathy (PVR) processes compared with a conventional removal of silicone oil technique. Methods: All individuals underwent pars plana vitrectomy (PPV) and silicone oil fill-in for complicated retinal detachments. In conventional removal of silicone oil (Group 1), no staining was used. In staining-assisted removal of silicone oil (Group 2), a mixture of trypan blue and brilliant blue G dyes was used to identify proliferative vitreoretinopathy and subclinical epiretinal membrane. Results: After the first 3-month follow-up, 15.9% of patients (N = 608) developed a retinal detachment. Retinal detachment occurred in 22.8% of patients in Group 1 (n = 284) and 9.8% of patients in Group 2 (n = 324; P < 0.001). In Group 2, proliferative vitreoretinopathy removal was performed in 153 eyes (47.2%). Conclusion: The incidence of retinal redetachment was significantly lower after staining-assisted removal of silicone oil compared with a conventional technique. Staining-assisted removal of silicone oil allowed better identification and removal of proliferative vitreoretinopathy processes. Abstract : The incidence of retinal redetachment was significantly lower after staining-assisted removal of silicone oil (st-ROSO) compared with a conventional technique. Staining-assisted removal of silicone oil allowed better identification and removal of proliferative vitreoretinopathy processes.