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Silicone oil surgery can improve vision in pediatric eyes after trauma
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More than 80% of pediatric eyes that suffered severe trauma were successfully treated with silicone oil surgery in a German study.
Suzanne Binder, MD, and colleagues reported the results of surgery for complex retinal detachment and proliferative vitreoretinopathy in 33 patients between the ages of 2 years and 16 years. In 16 of the eyes, the pathology was due to severe trauma; in seven, giant retinal tears; in seven; high myopia; in three, uveitis; in one, proliferative diabetic retinopathy; and in one, retrolental fibroplasia.
Surgery for these complex detachments included pars plana vitrectomy and silicone oil tamponade. The mean number of surgeries in each patients was 2.6.
Total retinal reattachment was achieved in 21 eyes (60%). Six eyes (17%) showed some residual retinal detachment. Eight eyes (23%) were detached due to massive reproliferation.
In the group with secondary repair of severe trauma, 13 of 16 eyes (81%) were cured and gained vision.
The study is published in Spektrum der Augenheilkunde.