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Anatomic success, poor acuity often seen with RD surgery after silicone oil removal

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HOMBURG, Germany — Surgery for retinal detachment after silicone oil removal may result in a high rate of anatomic success, but the visual outcome is often poor, according to a retrospective study here.

Prof. Dr. med. Klaus W. Ruprecht and colleagues at the University of Saarland reviewed the charts of 168 eyes that underwent silicone oil removal in an 8-year period . Of those, 34 eyes developed retinal detachment after the silicone oil removal.

Initial surgical procedures included pars plana vitrectomy, encircling band, cryocoagulation and endotamponade. Five of the 34 eyes had a second retinal detachment after these operations. One had a third retinal detachment.

Visual acuity decreased in 16 eyes, and 18 of the 34 eyes had a VA of less than 0.02.

The study is published in Ophthalmologica.