Retinal Displacement Following Pars Plana Vitrectomy With Silicone Oil Tamponade for Rhegmatogenous Retinal Detachment Publisher Pubmed



Bazvand F¹ ; Azarkish A^{1, 2} ; Riaziesfahani H¹ ; Nabavi A¹ ; Khodabandeh A¹ ; Akbari M¹ ; Mirmohammadsadeghi A¹ ; Ebrahimiadib N¹ ; Khojaste H¹
Source: International Ophthalmology Published:2021

Abstract

Purpose: To evaluate the frequency of retinal displacement after pars plana vitrectomy (PPV) using silicone oil tamponade in patients with rhegmatogenous retinal detachment (RRD). Methods: Patients with fresh RRD were enrolled in this prospective interventional case series. A standard 3-port PPV with silicone oil tamponade was performed in all cases. A complete ocular examination, optical coherence tomography and fundus autofluorescence (FAF) imaging were performed at 1 and 3 months follow-up. Orthoptic examinations including synoptophore and light on–off tests were also performed at 3 months. Results: Twenty-three eyes from 23 patients with mean age of 56.6 ± 11 (range: 38–82) years were included. All patients were pseudophakic. Downward retinal displacement was found in 2 eyes (8.7%) showing hyperautofluorescent lines parallel to retinal vessels in FAF image. The patients with retinal displacement did not complain of metamorphopsia and did not show abnormality in orthoptic tests. Conclusion: Unintentional retinal shift following PPV with silicone oil tamponade for RRD is uncommon and might have little clinical significance. © 2021, The Author(s), under exclusive licence to Springer Nature B.V.