Intraocular pressure changes during and after silicone oil endotamponade (Review)

Branisteanu,Daniel Constantin; Moraru,Andreea Dana; Maranduca,Minela Aida; Branisteanu,Daciana Elena; Stoleriu,Gabriela; Branisteanu,Catalina Ioana; Balta,Florian

doi:10.3892/etm.2020.9334

Intraocular pressure changes during and after silicone oil endotamponade (Review)

Authors:
- Daniel Constantin Branisteanu
- Andreea Dana Moraru
- Minela Aida Maranduca
- Daciana Elena Branisteanu
- Gabriela Stoleriu
- Catalina Ioana Branisteanu
- Florian Balta
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Affiliations: Department of Ophthalmology, ‘Grigore T. Popa’ University of Medicine and Pharmacy, 700115 Iasi, Romania, Department of Physiology, ‘Grigore T. Popa’ University of Medicine and Pharmacy, 700115 Iași, Romania, Department of Dermatology, ‘Grigore T. Popa’ University of Medicine and Pharmacy, 700115 Iasi, Romania, Clinical Department, Faculty of Medicine and Pharmacy, ‘Dunarea de Jos’ University, 800008 Galati, Romania, ‘Grigore T. Popa’ University of Medicine and Pharmacy, 700115 Iași, Romania, Department of Ophthalmology, ‘Carol Davila’ University of Medicine and Pharmacy, 050474 Bucharest, Romania
Published online on: October 14, 2020 https://doi.org/10.3892/etm.2020.9334
Article Number: 204
Copyright: © Branisteanu et al. This is an open access article distributed under the terms of Creative Commons Attribution License.

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Abstract

Silicone oil (SIO) has rapidly become an indispensable adjunct in vitreoretinal surgery. Constant improvements in purity and also in viscosity have not totally prevented specific complications that may occur during endotamponade. Results of in vitro studies that suggested that higher viscosity silicone oil might be superior in terms of stability and safety are confirmed in real life only if endotamponade lasts for more than 6 months. Intraocular pressure changes induced by the silicone oil endotamponade or oil extraction are documented from its very first use and are potentially threatening vision. The purpose of this review is to update current knowledge on the incidence, risk factors, pathogenesis, and management of secondary silicone oil glaucoma. Also, in a retrospective evaluation on cases with complex retinal detachments that underwent 23G vitrectomy and high viscosity SIO endotamponade, we have noticed that a considerable number of cases developed significant intraocular pressure changes during SIO endotamponade and after SIO removal, especially in early postoperative period.

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