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Densiron 68 as an intraocular tamponade for complex inferior retinal detachments.

Hussain RN, Banerjee S - Clin Ophthalmol (2011)

Bottom Line: Six patients (50%) had raised intraocular pressure (IOP), resolving in the majority of cases following Densiron removal; two patients had long-term raised IOP requiring topical or surgical therapy.Of the six phakic patients, 50% developed significant cataract in the operated eye.A common complication is raised IOP; however, this most often resolves following removal of the oil.

View Article: PubMed Central - PubMed

Affiliation: Leicester Royal Infirmary, Leicester, UK.

ABSTRACT

Introduction: Densiron(®) 68 is a high-density liquid used to tamponade inferior retinal detachments. We present a case series of 12 patients treated with Densiron as an intraocular tamponade agent.

Methods: A retrospective analysis of 12 eyes in 12 patients was carried out. The primary endpoint was anatomic reattachment of the retina following removal of Densiron oil.

Results: All patients had inferior detachments; 33% had associated proliferative vitreoretinopathy (PVR). Densiron was utilized as a primary agent in five patients (42%); the remaining patients had prior unsuccessful surgery for retinal reattachment, including pars plana vitrectomy, cryotherapy, laser, encirclement, gas (C3F8 or C2F6), or silicone oil. Eleven patients (91%) had successful reattachment of the retina at 3 months following removal of Densiron; one patient had extensive PVR, total retinal detachment, preretinal macula fibrosis, and chronic hypotony, and surgical intervention was unsuccessful. Six patients (50%) had raised intraocular pressure (IOP), resolving in the majority of cases following Densiron removal; two patients had long-term raised IOP requiring topical or surgical therapy. Of the six phakic patients, 50% developed significant cataract in the operated eye. Of those with successful retinal reattachment, visual outcome was variable, with 36% patients gaining two to four lines on Snellen, 27% remaining objectively the same, and 36% losing one to two lines.

Conclusion: The anatomic success rate is high (91%) in patients requiring Densiron tamponade for inferior retinal detachments with or without evidence of PVR either as a primary or secondary intervention. A common complication is raised IOP; however, this most often resolves following removal of the oil.

No MeSH data available.


Related in: MedlinePlus

Anatomical reattachment following densiron removal.
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f1-opth-5-603: Anatomical reattachment following densiron removal.

Mentions: Eleven patients (91%) had successful reattachment of the retina at 3 months following removal of Densiron; one patient had extensive PVR and total retinal detachment, macula preretinal fibrosis, and chronic hypotony, and surgical intervention was unsuccessful (Figure 1).


Densiron 68 as an intraocular tamponade for complex inferior retinal detachments.

Hussain RN, Banerjee S - Clin Ophthalmol (2011)

Anatomical reattachment following densiron removal.
© Copyright Policy
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC3102592&req=5

f1-opth-5-603: Anatomical reattachment following densiron removal.
Mentions: Eleven patients (91%) had successful reattachment of the retina at 3 months following removal of Densiron; one patient had extensive PVR and total retinal detachment, macula preretinal fibrosis, and chronic hypotony, and surgical intervention was unsuccessful (Figure 1).

Bottom Line: Six patients (50%) had raised intraocular pressure (IOP), resolving in the majority of cases following Densiron removal; two patients had long-term raised IOP requiring topical or surgical therapy.Of the six phakic patients, 50% developed significant cataract in the operated eye.A common complication is raised IOP; however, this most often resolves following removal of the oil.

View Article: PubMed Central - PubMed

Affiliation: Leicester Royal Infirmary, Leicester, UK.

ABSTRACT

Introduction: Densiron(®) 68 is a high-density liquid used to tamponade inferior retinal detachments. We present a case series of 12 patients treated with Densiron as an intraocular tamponade agent.

Methods: A retrospective analysis of 12 eyes in 12 patients was carried out. The primary endpoint was anatomic reattachment of the retina following removal of Densiron oil.

Results: All patients had inferior detachments; 33% had associated proliferative vitreoretinopathy (PVR). Densiron was utilized as a primary agent in five patients (42%); the remaining patients had prior unsuccessful surgery for retinal reattachment, including pars plana vitrectomy, cryotherapy, laser, encirclement, gas (C3F8 or C2F6), or silicone oil. Eleven patients (91%) had successful reattachment of the retina at 3 months following removal of Densiron; one patient had extensive PVR, total retinal detachment, preretinal macula fibrosis, and chronic hypotony, and surgical intervention was unsuccessful. Six patients (50%) had raised intraocular pressure (IOP), resolving in the majority of cases following Densiron removal; two patients had long-term raised IOP requiring topical or surgical therapy. Of the six phakic patients, 50% developed significant cataract in the operated eye. Of those with successful retinal reattachment, visual outcome was variable, with 36% patients gaining two to four lines on Snellen, 27% remaining objectively the same, and 36% losing one to two lines.

Conclusion: The anatomic success rate is high (91%) in patients requiring Densiron tamponade for inferior retinal detachments with or without evidence of PVR either as a primary or secondary intervention. A common complication is raised IOP; however, this most often resolves following removal of the oil.

No MeSH data available.


Related in: MedlinePlus