Journal of the Korea Academia-Industrial cooperation Society (한국산학기술학회논문지)

The Korea Academia-Industrial cooperation Society (한국산학기술학회)
권호 표지
DOI QR코드

DOI QR Code

Clinical Results of Silicone Oil Injection following Vitrectomy as a Primary Procedure in Retinal Detachment

망막박리에서 일차수술로 유리체절제술과 실리콘 주입술에 대한 임상결과 분석

  • Gyeong, Gil-Hyeon (Department of Public Health, The Graduate School of Public Health and Welfare, Konyang University) ;
  • Lee, Moo-Sik (Department of Preventive Medicine, College of Medicine, Konyang University) ;
  • Hwang, Hye-Jeong (Department of Preventive Medicine, College of Medicine, Konyang University)
  • 길현경 (건양대학교 보건복지대학원 보건학과) ;
  • 이무식 (건양대학교 의과대학 예방의학교실) ;
  • 황혜정 (건양대학교 의과대학 예방의학교실)
  • Published : 2009.12.31
Download PDF
⟨ Previous Next ⟩

Abstract

To evaluate clinical results of silicone oil injection for retinal detachment. The 45 eyes of 44 patients underwent vitrectomy and silicone oil injection from 1999 to 2002. 1.There were no history of previous retinal surgery and ocular trauma. In 24 of the 45 eyes(53%) visual acuity increased and stabilized in 18 of the 45 eyes(40%). 2. 1 of 16 eyes(6.3%) had recurred retinal detachment after silicone oil removal. 3. Final retinal reattachment was achieved in 44 eyes(97%). Postoperative complications were cataract(16 eyes), glaucoma(10 eyes), emulsification of silicone oil(5 eyes), keratopathy(2 eyes) and recurrent retinal detachment(1 eye). These results show that silicone oil injection for primary retinal detachment yields a high rate of anatomic success and the good visual outcome

본 연구는 망막박리에서 실리콘 기름주입술에 대한 임상적 결과를 분석한 것이다. 1999년부터 2002년까지 유리체절제술과 실리콘기름 주입술를 받은 44명 환자의 45안을 연구하였다. 결과는 다음과 같다. 1. 유리체절제술 후 시력이 두 줄 이상 호전된 경우는 45안 중 24안(53%)이었으며, 45안 중 18안(40%)에서는 시력의 변화가 없었다. 2. 실리콘기름 주입술 후 16안(6.3%)에서 실리콘기름을 제거하였으며 그 중 1안에서 망막박리가 재발되어 실리콘기름 재주입술을 시행하여 망막재유착을 이루었다. 3. 재수술을 포함하여 해부학적인 재유착은 45안 중 44안(97%)에서 이루었다. 4. 실리콘기름주입 후 발생한 합병증은 백내장(16안), 녹내장(10안), 실리콘기름의 유화(5안), 각막병증(2안), 재발성 망막박리 (1안)이었다. 결론적으로 망막박리 환자에게 일차수술로 유리체 절제술 후 유리체 대용물로 실리콘 기름을 사용하는 것은 여러 합병증의 발생에도 불구하고 높은 해부학적 성공률과 시력 개선효과를 보여주었다.

Keywords

References

  1. Hee Young Choi, Boo Sup Oum. Primary vitrectomy in rhegmatous retinal detachment. J Korean Ophthalmol Soc, Vol. 39, No. 1, pp. 130-138, 1998.
  2. Machemer R, Buettner H, Norton EWD. Parel JM. Vitrectomy. A pars plana approach. Trans Am Acad Ophthalmol, Vol. 68, pp. 590-599, 1962.
  3. Cibis PA, Becker B, Okum E, Canaan S. The use of liquid silicone in retinal detachment surgery. Arch Ophthalmol, Vol. 68, pp. 590-599, 1962. https://doi.org/10.1001/archopht.1962.00960030594005
  4. Tsui I, Schubert HD. Retinotomy and silicone oil for detachments complicated by anterior inferior proliferative vitreoretinopathy. Br J Ophthalmol, Vol. 93, No. 9, pp. 1228-1233, 2009. https://doi.org/10.1136/bjo.2008.140988
  5. Quiram PA, Gonzales CR, Hu W. et al. Outcomes of vitrectomy with inferior retinectomy in patients with recurrent rhegmatogenousretinal detachments and proleferative vitreoretinopathy. Ophthalmology, Vol, Nov. 113, No. 11, pp. 2041-2047, 2006. https://doi.org/10.1016/j.ophtha.2006.05.039
  6. Lucke K, Laqua H. Silicone oil in the treatment of complicated retinal detachment. London, Springer, pp.121, 1990.
  7. Bodanowitz S, Kir N, Hesse L. Silicone oil for recurrent vitreous hemorrhage in previously vitrectomized diabetic eyes. Ophthalmological, Vol. 211, pp. 219-222, 1997. https://doi.org/10.1159/000310793
  8. Riedel KG, Gabel VP, Neubauer L. et al. Intravitreal silicone oil injection: complications and treatment of 415 consecutive patients. Gradfe's Arch Clin Exp Ophthalmol Vol. 228, pp. 19-23, 1990. https://doi.org/10.1007/BF02764284
  9. Tschang Seog Oh, Si Yeol Kim. Complications associated with intravitreal silicone oil injection. J Korean Ophthalmol Soc, Vol. 34, No. 10, pp. 1012-1022, 1993.
  10. Boo Sup Oum, Dae Won Lim. A clinical study on the silicone oil the treatment of proliferative diabetic retinopathy. J Korean Ophthalmol Soc Vol. 42, No. 3, pp. 428-434, 2001.
  11. Jin Sool Yoon, Soo Young Lee, S.C.Lee, Oh Woong Kwon. Clinical outcomes after silicone oil removal. J Korean Ophthalmol Soc, Vol. 44, No. 3, pp. 642-648, 2003.
  12. 정자영, 이태곤. 심한 급성망막괴사에서 망막박리 예방을 위해 시행한 유리체절제술 및 실리콘기름 주입술의 효과, 제 49권, 제 3호, pp. 519-527, 2008. https://doi.org/10.3341/jkos.2008.49.3.519
  13. Falkner CL, Binder S, Kruger A. Outcome after silicone oil removal. Br J Ophthalmol, Vol. 85, No. 11, pp. 1324-1327, 2001. https://doi.org/10.1136/bjo.85.11.1324
  14. Flaxel CJ, Binder S, KrugerA. Outcome after silicone oil removal and recurrent retinal detachment repair. Rye, Vol. Dec 14, pp. 834-838, 2000.
  15. Kapetanios AD, Donati G, Pournaras CJ. Idiopathic giant retinal tears : treatment with vitrectomy and temporary silicone oil tamponade. J Fr Ophthalmol, Vol. 23, No. 10, pp. 1001-1005, 2000.
  16. Corner MB, Newman DK, George ND. et al. Who should manage primary retinal detachments? Eye, Vol. 14, No. 4, pp. 572-578, 2000. https://doi.org/10.1038/eye.2000.145
  17. Kumar V, Banerjee S, Loo AV. et al. Macular hole surgery with silicone oil. Eye, Vol. 16, No. 2, pp. 121-125, 2002. https://doi.org/10.1038/sj/eye/6700029
  18. Karia N, Laidlaw A, West J. et al. Macular hole surgery using silicone oil tamponade. Br J Ophthalmol, Vol., Nov. 85, No. 11, pp. 1320-1323, 2001. https://doi.org/10.1136/bjo.85.11.1320
  19. Yeon Chul Jung, Jaeheung Lee. Silicone oil for retinal detachment with advanced proliferative vitreoretinopathy following vitrectomy. J Korean Ophthalmol Soc, Vol. 29, No. 1, pp. 97-101, 1998.
  20. Rice TA, Michels RG. Long term anatomic and functional results of vitrectomy for diabetic retinopathy. Am J Ophthalmol, Vol. 90, pp. 297-304, 1980. https://doi.org/10.1016/S0002-9394(14)74907-4
  21. Lesnoni G, Rossi T, Nistri A, Boccassini B. Long-term prognosis after removal of silicone oil. Eur J Ophthalmol, Vol. 10, No. 1, pp. 60-65, 2000.
  22. Ni C, Wang WJ, Alber DM. et al. Intravitreal silicone injection. Histologic findings in a human eye after 12 years, Arch Ophthalmol, Vol. 101, pp. 1339-1401, 1993.
  23. Quang HN, mary AL, Dale KH. et al. Incidence and management of glaucoma after intravitreal silicone injection for complicated retinal detachment. Ophthalmol, Vol. 99, pp. 1520-1526, 1992. https://doi.org/10.1016/S0161-6420(92)31771-3
  24. Jiang F. Krause M, Ruprecht KW, Hille K. Risk factors for anatomical success and visual outcome in patients undergoing silicone oil removal. Eur J Ophthalmol, Vol. 12, No. 4, pp. 293-298, 2002.
  25. Jonas JB, Knorr HL, Rank RM, Budde WM. Retinal redetachment after removal of intraocular silicone oil tamponade. Br J Ophthalmol, Vol. 85, No. 10, pp. 1203-1207, 2001. https://doi.org/10.1136/bjo.85.10.1203