The use of Silicone Oil Following Failed Vitrectomy for Retinal Detachment with Advanced Proliferative Vitreoretinopathy

  • Brooks W. McCuen
  • Maurice B. Landers
  • Robert Machemer
Conference paper
Part of the FIDIA Research Series book series (FIDIA, volume 2)


Recent reports suggest that sophisticated vitreous surgical methods allow increasing success in reattaching retinas with advanced proliferative vitreoretinopathy. By utilizing such techniques as broad scleral buckling, intra and postoperative fluid-gas exchange, and endolaser photocoagulation some surgeons now claim over 75% success in these cases. Nevertheless, a significant number of eyes still fail despite these measures (1,2). Encouraged by the work of Scott, Gonvers, Zivojnovic and others, we at Duke University have approached these failures over the past 3 years by reoperation with silicone oil (3–5). This report briefly reviews our techniques, results, and complications in these difficult cases.


Retinal Detachment Subretinal Fluid Proliferative Vitreoretinopathy Vitreous Surgery Retinal Reattachment 
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  1. 1.
    Sternberg P Jr, Machemer R: Results of conventional vitreous surgery for proliferative vitreoretinopathy. Am J Ophthalmol. Accepted for publication.Google Scholar
  2. 2.
    Jalkh AE, Avila MP, Schepens CL, et al (1984): Surgical treatments of proliferative vitreoretinopathy. Arch Ophthalmol; 102:1135–39.PubMedCrossRefGoogle Scholar
  3. 3.
    Scott JD (1975): The treatment of massive vitreous retraction by the separation of preretinal membranes using liquid silicone. Mod Probl Ophthalmol; 15:285–90.Google Scholar
  4. 4.
    Zivojnovic R, Mertens DAE, Peperkamp E (1982): Das flussige silikon in der amotiochirurgie (II) Bericht uber 280 falleweiter entwicklung der technik. Klin Mbl Augenheilk; 181:444–52.PubMedCrossRefGoogle Scholar
  5. 5.
    Gonvers M (1982): Temporary use of silicone oil in the treatment of detachment with massive periretinal proliferation. Ophthalmologica; 184:210–18.PubMedCrossRefGoogle Scholar
  6. 6.
    The Retina Society Terminology Committee. The classification of retinal detachment with proliferative vitreoretinopathy. Ophthalmology; 90:121–5.Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1986

Authors and Affiliations

  • Brooks W. McCuen
    • 1
  • Maurice B. Landers
    • 1
  • Robert Machemer
    • 1
  1. 1.Duke University Eye CenterDurhamUSA

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