CHANGES OF INTRAOCULAR PRESSURE IN VITRECTOMISED EYES AFTER REMOVAL OF SILICONE OIL

Authors

  • Mohammad Jawad Lady Reading Hospital Peshawar
  • Bilal Khan lady Reading Hospital, Peshawar
  • Mir Ali Shah lady Reading Hospital, Peshawar
  • Iftikhar Qayum Rehman Medical College, Peshawar
  • Mohammad Aftab Women Medical College, Abbottabad

Abstract

Background: Patients with Rhegmatogenous retinal detachment develop raised intraocular pressure (IOP) when they undergo pars plana vitrectomy with silicone oil. The present study was done to document changes in IOP with silicone oil and after its removal. Methods: The interventional study was conducted at Eye department of Lady Reading Hospital Peshawar, from August 2012 to July 2014 on 30 patients with Rhegmatogenous retinal detachment in whom pars plana vitrectomy with silicone oil injection was indicated. IOP readings were obtained on 1st postoperative day, at one month and at 6 months; the silicone oil was removed after the third reading and the IOP readings obtained after 2 weeks. Results: Of the 30 patients selected for the study, there were 25 (83.3%) males and 5 (16.7%) females with ages ranging from 12–80 years (mean age 41.83±21.43 years). The mean of three pre silicone oil removal IOP readings was 27.35±9.20 mmHgwhich was reduced to a mean of 16.10±6.14mmHg following the removal of silicone oil at 6 months (p<0.001). Postoperative raised IOP values were highly predictive of persistently elevated IOP readings in patients after six months. Conclusion: Vitrectomised eyes with silicone oil raised intraocular pressure which was reduced after silicone oil removal. Keywords: Retinal Detachment, Vitrectomy, Vitreoretinal surgery, Silicone oil, intraocular pressure, Tonometry, Scleral Buckling

Author Biographies

Mohammad Jawad, Lady Reading Hospital Peshawar

Eye Department

Bilal Khan, lady Reading Hospital, Peshawar

TMO

Mir Ali Shah, lady Reading Hospital, Peshawar

Associate Professor

Iftikhar Qayum, Rehman Medical College, Peshawar

Director Medical Research

Mohammad Aftab, Women Medical College, Abbottabad

Professor

References

Thompson JT, Sjaarda RN, Glaser BM, Murphy RP. Increased intraocular pressure after macular hole surgery. Am J Ophthalmol 1996;121(6):615–22.

Tranos P, Bhar G, Little B. Postoperative intraocular pressure spikes: the need to treat. Eye (Lond) 2004;18(7):673–9.

Chang S. LXII Edward Jackson lecture: open angle glaucoma after vitrectomy. Am J Ophthalmol 2006;141(6):1033–43.

Lalezary M, Kim SJ, Jiramongkolchai K, Recchia FM, Agarwal A, Sternberg P Jr. Long-term trends in intraocular pressure after pars planavitrectomy. Retina 2011;31(4):679–85.

Holekamp NM, Shui YB, Beebe D. Lower intraocular oxygen tension in diabetic patients: possible contribution to decreased incidence of nuclear sclerotic cataract. Am J Ophthal 2006;141(6):1027–32.

Holekamp NM, Bai F, Shui YB, Almony A, Beebe DC. Ischemic diabetic retinopathy may protect against nuclear sclerotic cataract. Am J Ophthalmol 2010;150(4):543–50.

Gedde SJ. Management of glaucoma after retinal detachment surgery. Curr Opin Ophthalmol 2002;13(2):103–9.

Jonas JB, Knorr HL, Rank RM, Budde WM. Intraocular pressure and silicone oil endotamponade. J Glaucoma 2001;10(2):102–8.

Wesołek-Czernik A. The influence of silicone oil removal on intraocular pressure. Klin Oczna 2002;104(3-4):219–21.

Al-Jazzaf AM, Netland PA, Charles S. Incidence and management of elevated intraocular pressure after silicone oil injection. J Glaucoma 2005;14(1):40–6.

Valtot F, Kopel J, Ameline B, Le Mer Y, Colliac JP, Haut J. Ultrasonic treatment of hypertonia caused by intraocular silicone oil. J Fr Ophtalmol 1992;15(8-9):455–60.

Costarides AP, Alabata P, Bergstrom C. Elevated intraocular pressure following vitreoretinal surgery. Ophthalmol Clin North Am 2004;17(4):507–12.

Kumar A, Dada T, Singh RP, Kedar S. Diode laser trans-scleral cyclophotocoagulation for glaucoma following silicone oil removal. Clin Experiment Ophthalmol 2001;29(4):220–4.

Kanski JJ. Retinal Detachment. In: Clinical Ophthalmology. 7th ed. London: Elsevier, 2011:687–733.

Ryan SJ, Retina. Techniques of Scleral Buckling. In: Wilkinson CP, Wiedemann P, Schachat AP. Surgical Retina. 5th Edition. London: Elsevier Saunders. 2013:1669–95.

Al-Wadani SF, Abouammoh MA, Abu El-Asrar AM. Visual and anatomical outcomes after silicone oil removal in patients with complex retinal detachment. Int Ophthalmol 2014;34(3):549–56.

Moisseiev J, Barak A, Manaim T, Treister G. Removal of silicone oil in the management of glaucoma in eyes with emulsified silicone. Retina 1993;13(4):290–5.

Beekhuis WH, Ando F, Zivojnović R, Mertens DA, Peperkamp E. Basal iridectomy at 6 o'clock in the aphakic eye treated with silicone oil: prevention of keratopathy and secondary glaucoma. Br J Ophthalmol 1987;71(3):197–200

Downloads

Published

2016-06-01

Most read articles by the same author(s)

1 2 3 > >>