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Silicone oil may help manage retinal detachment associated with endophthalmitis
Silicone oil may be a useful adjunct during initial or subsequent treatment in patients who have endophthalmitis and concurrent or delayed-onset retinal detachment, according to a study.
Two groups of patients with endophthalmitis and retinal detachment at presentation or during follow-up received silicone oil as part of their treatment plans. Twenty patients were diagnosed with retinal detachment at presentation (group 1), and 73 patients were diagnosed during follow-up (group 2).
Nineteen patients in group 1 received initial treatment of vitrectomy, intravitreal antibiotics and silicone oil injection, while one patient received vitrectomy and intravitreal antibiotics. In group 2, patients were not initially treated with silicone oil but received silicone oil injection during later surgery to repair the retinal detachment.
Visual acuity outcomes were “generally poor” in both groups. In group 1, 73.7% of patients experienced a complete retinal reattachment and 30% had visual acuity of 20/400 or better at final follow-up. In group 2, 98.5% of patients experienced a complete retinal reattachment and 39.7% had visual acuity of 20/400 or better.
In 44 eyes of patients who underwent silicone oil removal at final follow-up, the median visual acuity was 20/100 compared with 49 eyes that did not undergo oil removal and had a median visual acuity of 20/2000. – by Robert Linnehan
Disclosures: The authors report no relevant financial disclosures.