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Silicone oil info
by John C Hagan III, MD, FACS, Oct 24, 2007 04:56PM
, Oct 24, 2007 04:56PM
There have been several questions on both eye forums about SILICONE OIL. Because neither Dr. Kutryb no I are retinal surgeons I spoke with one of the retina surgeons in our group about recent questions.
1. Silicone oil can be left in the eye indefinitely although that isn't necessarily the recommended course. Typically most retinal specialists will try to remove oil after 4-6 months depending on how the retina looks. I have several patients that have a localized area of retinal that becomes detached under oil, for that reason I will elect to keep the oil in indifinitely due to the poor visual potential and the risk of redetachment if the oil is removed.
2. During removal it is always recommended to remove as much of the silicone oil as possible.
3. The biggest concerns with the silicone oil are corneal decompensation, migration into the anterior chamber, glaucoma and smulsification on the posterior surgace of a silicone intraocular implant (IOL).
JCH III MD
1. Silicone oil can be left in the eye indefinitely although that isn't necessarily the recommended course. Typically most retinal specialists will try to remove oil after 4-6 months depending on how the retina looks. I have several patients that have a localized area of retinal that becomes detached under oil, for that reason I will elect to keep the oil in indifinitely due to the poor visual potential and the risk of redetachment if the oil is removed.
2. During removal it is always recommended to remove as much of the silicone oil as possible.
3. The biggest concerns with the silicone oil are corneal decompensation, migration into the anterior chamber, glaucoma and smulsification on the posterior surgace of a silicone intraocular implant (IOL).
JCH III MD
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