Mixture of ether and silicone oil for the treatment of inferior complicated retinal detachment

Mario R. Romano, Stefano Zenoni, Paolo Arpa, Cesare Mariotti

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Purpose. To report the efficacy and ocular tolerance of a new tamponade made with ether and silicone oil (HeavySil [HSIL]) for the treatment of retinal detachment (RD) complicated by inferior proliferative vitreous retinopathy (PVR). Methods. Prospective noncomparative interventional study on 31 consecutive eyes that underwent pars plana vitrectomy and were treated with HSIL as an intraocular tamponade. All patients presented with at least one retinal break and grade B-C PVR located between 4 and 8 o'clock. The main endpoint criteria were retinal reattachment after the removal of HSIL and complications arisen from the use of this tamponade. Results. Primary anatomic success was achieved in 27 out of 31 cases. Mean visual acuity improved from logMAR 1.4 (SD 0.7) to logMAR 1.1 (SD 0.6) (p=0.02). The main complications reported were cataract formation (5 out of 7 phakic eyes cases), clinically visible emulsification (6 cases), and difficulty of oil removal in 3 cases. Severe intraocular inflammation with HSIL in situ was found in only one case. Conclusions. HeavySil, a saturated solution of ether with silicone oil, is a safe and effective tamponade agent for the treatment of complicated RD. The most common complications are cataract formation and oil emulsification.

Original languageEnglish
Pages (from-to)230-235
Number of pages6
JournalEuropean Journal of Ophthalmology
Volume23
Issue number2
DOIs
Publication statusPublished - 2013

Fingerprint

Silicone Oils
Retinal Detachment
Ether
Cataract
Oils
Retinal Perforations
Temazepam
Vitrectomy
Visual Acuity
Therapeutics
Inflammation

Keywords

  • HeavySil oil
  • Retinal detachment
  • Semi-fluorinated ether

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Mixture of ether and silicone oil for the treatment of inferior complicated retinal detachment. / Romano, Mario R.; Zenoni, Stefano; Arpa, Paolo; Mariotti, Cesare.

In: European Journal of Ophthalmology, Vol. 23, No. 2, 2013, p. 230-235.

Research output: Contribution to journalArticle

Romano, Mario R. ; Zenoni, Stefano ; Arpa, Paolo ; Mariotti, Cesare. / Mixture of ether and silicone oil for the treatment of inferior complicated retinal detachment. In: European Journal of Ophthalmology. 2013 ; Vol. 23, No. 2. pp. 230-235.
@article{92aa66bb694949a7bd7e2f9f7115f086,
title = "Mixture of ether and silicone oil for the treatment of inferior complicated retinal detachment",
abstract = "Purpose. To report the efficacy and ocular tolerance of a new tamponade made with ether and silicone oil (HeavySil [HSIL]) for the treatment of retinal detachment (RD) complicated by inferior proliferative vitreous retinopathy (PVR). Methods. Prospective noncomparative interventional study on 31 consecutive eyes that underwent pars plana vitrectomy and were treated with HSIL as an intraocular tamponade. All patients presented with at least one retinal break and grade B-C PVR located between 4 and 8 o'clock. The main endpoint criteria were retinal reattachment after the removal of HSIL and complications arisen from the use of this tamponade. Results. Primary anatomic success was achieved in 27 out of 31 cases. Mean visual acuity improved from logMAR 1.4 (SD 0.7) to logMAR 1.1 (SD 0.6) (p=0.02). The main complications reported were cataract formation (5 out of 7 phakic eyes cases), clinically visible emulsification (6 cases), and difficulty of oil removal in 3 cases. Severe intraocular inflammation with HSIL in situ was found in only one case. Conclusions. HeavySil, a saturated solution of ether with silicone oil, is a safe and effective tamponade agent for the treatment of complicated RD. The most common complications are cataract formation and oil emulsification.",
keywords = "HeavySil oil, Retinal detachment, Semi-fluorinated ether",
author = "Romano, {Mario R.} and Stefano Zenoni and Paolo Arpa and Cesare Mariotti",
year = "2013",
doi = "10.5301/ejo.5000215",
language = "English",
volume = "23",
pages = "230--235",
journal = "European Journal of Ophthalmology",
issn = "1120-6721",
publisher = "Wichtig Publishing",
number = "2",

}

TY - JOUR

T1 - Mixture of ether and silicone oil for the treatment of inferior complicated retinal detachment

AU - Romano, Mario R.

AU - Zenoni, Stefano

AU - Arpa, Paolo

AU - Mariotti, Cesare

PY - 2013

Y1 - 2013

N2 - Purpose. To report the efficacy and ocular tolerance of a new tamponade made with ether and silicone oil (HeavySil [HSIL]) for the treatment of retinal detachment (RD) complicated by inferior proliferative vitreous retinopathy (PVR). Methods. Prospective noncomparative interventional study on 31 consecutive eyes that underwent pars plana vitrectomy and were treated with HSIL as an intraocular tamponade. All patients presented with at least one retinal break and grade B-C PVR located between 4 and 8 o'clock. The main endpoint criteria were retinal reattachment after the removal of HSIL and complications arisen from the use of this tamponade. Results. Primary anatomic success was achieved in 27 out of 31 cases. Mean visual acuity improved from logMAR 1.4 (SD 0.7) to logMAR 1.1 (SD 0.6) (p=0.02). The main complications reported were cataract formation (5 out of 7 phakic eyes cases), clinically visible emulsification (6 cases), and difficulty of oil removal in 3 cases. Severe intraocular inflammation with HSIL in situ was found in only one case. Conclusions. HeavySil, a saturated solution of ether with silicone oil, is a safe and effective tamponade agent for the treatment of complicated RD. The most common complications are cataract formation and oil emulsification.

AB - Purpose. To report the efficacy and ocular tolerance of a new tamponade made with ether and silicone oil (HeavySil [HSIL]) for the treatment of retinal detachment (RD) complicated by inferior proliferative vitreous retinopathy (PVR). Methods. Prospective noncomparative interventional study on 31 consecutive eyes that underwent pars plana vitrectomy and were treated with HSIL as an intraocular tamponade. All patients presented with at least one retinal break and grade B-C PVR located between 4 and 8 o'clock. The main endpoint criteria were retinal reattachment after the removal of HSIL and complications arisen from the use of this tamponade. Results. Primary anatomic success was achieved in 27 out of 31 cases. Mean visual acuity improved from logMAR 1.4 (SD 0.7) to logMAR 1.1 (SD 0.6) (p=0.02). The main complications reported were cataract formation (5 out of 7 phakic eyes cases), clinically visible emulsification (6 cases), and difficulty of oil removal in 3 cases. Severe intraocular inflammation with HSIL in situ was found in only one case. Conclusions. HeavySil, a saturated solution of ether with silicone oil, is a safe and effective tamponade agent for the treatment of complicated RD. The most common complications are cataract formation and oil emulsification.

KW - HeavySil oil

KW - Retinal detachment

KW - Semi-fluorinated ether

UR - http://www.scopus.com/inward/record.url?scp=84874156344&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84874156344&partnerID=8YFLogxK

U2 - 10.5301/ejo.5000215

DO - 10.5301/ejo.5000215

M3 - Article

VL - 23

SP - 230

EP - 235

JO - European Journal of Ophthalmology

JF - European Journal of Ophthalmology

SN - 1120-6721

IS - 2

ER -