Scleral buckling combined with retinal laser photocoagulation in the treatment of recurrent retinal detachment in silicone oil-filled eyes

Abstract

AIM: To investigate the effect of scleral buckling combined with laser photocoagulation for the treatment of recurrent retinal detachment in silicone oil-filled eyes.METHODS: Retrospective study. A total of 23 patients(23 eyes)with retinal detachment in silicone oil-filled eyes who were treated in the first ward of ophthalmology department at Dalian No.3 People's Hospital with scleral buckling and laser photocoagulation from March 2019 to March 2022 were selected. The best corrected visual acuity(BVCA), intraocular pressure, retinal reattachment and complications were compared before and after surgery.RESULTS: At the last follow-up, 20 eyes of 23 eyes were reattached, with a reattachment rate of 87%. BCVA at 3 and 6mo after operation was higher than that before operation(all P<0.05). The intraocular pressure increased temporarily in the early period after operation and then recovered to the preoperative level. A total of 3 eyes had silicone oil displacement. After symptomatic treatment, the anterior chamber was completely filled with aqueous humor or a small amount of residual silicone oil drops in the anterior chamber were far away from the corneal endothelium, which had no adverse effect on the corneal endothelium.CONCLUSION: Scleral buckling combined with retinal laser photocoagulation is safe and effective in the treatment of recurrent retinal detachment in silicone oil-filled eyes.

Keywords

• silicone oil-filled eyes
• scleral buckling
• retinal laser photocoagulation
• post vitrectomy
• recurrent retinal detachment
• proliferative vitreoretinopathy
• retinal tears