RESUMO
OBJECTIVE: To report multicentred use of the heavy silicone oil Densiron 68 for anatomical reattachment following rhegmatogenous retinal detachment (RRD) repair and its associated complications. METHODS AND ANALYSIS: Patients from seven vitreoretinal units within the UK that underwent RRD repair with Densiron 68 between January 2015 and December 2019 were identified. Primary outcome measures were primary and final reattachment rate, retained Densiron and failure rate. Secondary outcome measures were duration of tamponade, final visual acuity (VA) and complications of heavy silicone oil. RESULTS: 134 eyes of 134 patients were involved in the study. Primary surgical success was achieved in 48.5%, while a final reattachment rate of 73.4% was observed. The mean duration of Densiron 68 tamponade was 139.5 days. Mean final VA was 1.01 (range 0-2.9). 8 eyes (6.0%) required long-term topical steroids for anterior uveitis, whereas none of the eyes required long-term pressure-lowering treatment. Emulsification rate was 10.7% (6 eyes). CONCLUSION: This is the largest real-world study on Densiron 68 in the UK. Densiron 68 facilitates tamponade of inferior retinal pathology and may be considered as an option for tamponade of inferior retinal pathologies.
Assuntos
Descolamento Retiniano , Humanos , Descolamento Retiniano/cirurgia , Resultado do Tratamento , Vitrectomia/efeitos adversos , Óleos de Silicone/uso terapêuticoRESUMO
We report two cases of sudden loss of vision in the second eye, within few hours of loss of vision in the first, in association with occult giant cell arteritis. Both cases presented with bilateral disc edema. The importance of starting steroid therapy to prevent sight or life threatening complications, as soon as a diagnosis is suspected is emphasized.
Assuntos
Arterite de Células Gigantes/tratamento farmacológico , Esteroides/uso terapêutico , Idoso , Idoso de 80 Anos ou mais , Feminino , Arterite de Células Gigantes/diagnóstico , Arterite de Células Gigantes/patologia , Humanos , Fatores de TempoRESUMO
We report two cases of sudden loss of vision in the second eye, within a few hours of loss of vision in the first, in association with occult giant cell arteritis. Both cases presented with bilateral disc edema. The importance of starting steroid therapy to prevent sight- or life-threatening complications, as soon as a diagnosis is suspected is emphasized.