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Article: Densiron-68 heavy silicone oil in cases of PVR : AAnatomic and functional outcomes

TitleDensiron-68 heavy silicone oil in cases of PVR : AAnatomic and functional outcomes
Schweres Silikonöl bei PVR : Anatomische und Funktionelle Ergebnisse
Authors
KeywordsPVR
Retina
Silicone oil
Tamponade
Issue Date2009
PublisherSpringer. The Journal's web site is located at http://link.springer.de/link/service/journals/00347/index.htm
Citation
Ophthalmologe, 2009, v. 106 n. 4, p. 320-327 How to Cite?
AbstractPurpose: To evaluate the safety and efficacy of Densiron-68 heavy silicone oil in the clinical management of complex retinal detachments with proliferative vitreoretinopathy (PVR). Methods: We present a prospective, interventional noncomparative case series of 80 eyes of 79 consecutive patients. The primary end point was anatomical reattachment of the retina, defined as retinal reattachment in the absence of any tamponade agent. The secondary end point was to record the visual function and surgical complications. Inclusion criteria were PVR stages B-CA4, including posterior or inferior retinal breaks and the patient's inability to posture. Results: Patients were 59.1 (±18.1) years old, male:female =48:32, R:L=40:40. Fifty-six patients (70%) had previous unsuccessful retinal surgery, and 24 (30%) received heavy silicone oil at their first procedure. The extent of the detachments was 2.46 quadrants (±0.83) with macular involvement in 49 cases (61%). Fifty-six (67.5%) patients achieved retinal reattachment with one retinal operation and no tamponade, 64 (80%) achieved retinal reattachment with more than one operation and no tamponade, and 72 (90%) achieved a flat retina with tamponade in situ. Visual acuity rose from 1.48 LogMar (±0.91) to 1.12 (±0.82; p=0.009). Densiron was removed after 126 days (±55.1). Conclusion: The treatment of PVR remains challenging. No tamponade agent can provide simultaneous support for the superior as well as the inferior retina; therefore, a tamponade agent that "sinks" is a welcome new tool for the surgeon. We regard the use of heavy as well as conventional silicone oil as complementary to each other. © 2008 Springer Medizin Verlag.
Persistent Identifierhttp://hdl.handle.net/10722/60899
ISSN
2015 Impact Factor: 0.635
2015 SCImago Journal Rankings: 0.299
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorStappler, Ten_HK
dc.contributor.authorHeimann, Hen_HK
dc.contributor.authorGibran, SKen_HK
dc.contributor.authorGroenewald, Cen_HK
dc.contributor.authorPearce, IAen_HK
dc.contributor.authorWong, Den_HK
dc.date.accessioned2010-05-31T04:21:25Z-
dc.date.available2010-05-31T04:21:25Z-
dc.date.issued2009en_HK
dc.identifier.citationOphthalmologe, 2009, v. 106 n. 4, p. 320-327en_HK
dc.identifier.issn0941-293Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/60899-
dc.description.abstractPurpose: To evaluate the safety and efficacy of Densiron-68 heavy silicone oil in the clinical management of complex retinal detachments with proliferative vitreoretinopathy (PVR). Methods: We present a prospective, interventional noncomparative case series of 80 eyes of 79 consecutive patients. The primary end point was anatomical reattachment of the retina, defined as retinal reattachment in the absence of any tamponade agent. The secondary end point was to record the visual function and surgical complications. Inclusion criteria were PVR stages B-CA4, including posterior or inferior retinal breaks and the patient's inability to posture. Results: Patients were 59.1 (±18.1) years old, male:female =48:32, R:L=40:40. Fifty-six patients (70%) had previous unsuccessful retinal surgery, and 24 (30%) received heavy silicone oil at their first procedure. The extent of the detachments was 2.46 quadrants (±0.83) with macular involvement in 49 cases (61%). Fifty-six (67.5%) patients achieved retinal reattachment with one retinal operation and no tamponade, 64 (80%) achieved retinal reattachment with more than one operation and no tamponade, and 72 (90%) achieved a flat retina with tamponade in situ. Visual acuity rose from 1.48 LogMar (±0.91) to 1.12 (±0.82; p=0.009). Densiron was removed after 126 days (±55.1). Conclusion: The treatment of PVR remains challenging. No tamponade agent can provide simultaneous support for the superior as well as the inferior retina; therefore, a tamponade agent that "sinks" is a welcome new tool for the surgeon. We regard the use of heavy as well as conventional silicone oil as complementary to each other. © 2008 Springer Medizin Verlag.en_HK
dc.languagegeren_HK
dc.publisherSpringer. The Journal's web site is located at http://link.springer.de/link/service/journals/00347/index.htmen_HK
dc.relation.ispartofOphthalmologeen_HK
dc.rightsThe original publication is available at www.springerlink.com-
dc.subjectPVRen_HK
dc.subjectRetinaen_HK
dc.subjectSilicone oilen_HK
dc.subjectTamponadeen_HK
dc.subject.meshOphthalmic Solutions - administration and dosage-
dc.subject.meshRecovery of Function - drug effects-
dc.subject.meshSilicone Oils - administration and dosage-
dc.subject.meshVision Disorders - diagnosis - etiology - prevention and control-
dc.subject.meshVitreoretinopathy, Proliferative - complications - drug therapy-
dc.titleDensiron-68 heavy silicone oil in cases of PVR : AAnatomic and functional outcomesen_HK
dc.titleSchweres Silikonöl bei PVR : Anatomische und Funktionelle Ergebnisse-
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0941-293X&volume=106&issue=4&spage=320&epage=326&date=2008&atitle=Densiron-68+heavy+silicone+oil+in+cases+of+PVR.+Anatomic+and+functional+outcomes-
dc.identifier.emailWong, D: shdwong@hku.hken_HK
dc.identifier.authorityWong, D=rp00516en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1007/s00347-008-1798-8en_HK
dc.identifier.pmid18636266-
dc.identifier.scopuseid_2-s2.0-67349241936en_HK
dc.identifier.hkuros152788en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-67349241936&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume106en_HK
dc.identifier.issue4en_HK
dc.identifier.spage320en_HK
dc.identifier.epage327en_HK
dc.identifier.isiWOS:000265397300005-
dc.publisher.placeGermanyen_HK
dc.identifier.scopusauthoridStappler, T=8563727800en_HK
dc.identifier.scopusauthoridHeimann, H=7006780277en_HK
dc.identifier.scopusauthoridGibran, SK=13205333800en_HK
dc.identifier.scopusauthoridGroenewald, C=6601917086en_HK
dc.identifier.scopusauthoridPearce, IA=35345778700en_HK
dc.identifier.scopusauthoridWong, D=7401536078en_HK
dc.customcontrol.immutablecsl 150605-

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