Outcome of pediatric retinal detachment using high-density silicone oil
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ORIGINAL PAPER
Outcome of pediatric retinal detachment using high-density silicone oil Sanjay Mishra . Meenakshi Wadhwani . Ashok Kumar . Ravi Chauhan
Received: 18 June 2019 / Accepted: 2 October 2020 Ó Springer Nature B.V. 2020
Abstract Background The high-density silicone oil (Densiron), a mixture of F6H8 with silicone oil, has been used in the management of retinal detachment (RD) complicated by the presence of proliferative vitreoretinopathy (PVR) with varying rate of anatomical success and visual outcomes. Methods We conducted a prospective interventional case series of 22 eyes in 22 children less than 18 years diagnosed with complicated retinal detachment complicated by the presence of PVR in inferior quadrant. Results The mean age of the patients was 8.45 ± 3.36 years. There were 14 male and 8 female children. Five patients presented with total RD, 5 had subtotal RD and remaining 10 with inferior retinal detachment. There were 8 children with PVR C1, 13 with PVR C2, 3 with PVR C3. All patient’s had macula off RD at presentation. The anatomical success S. Mishra Army Hospital research and referral, Delhi Cantt, New Delhi, India M. Wadhwani (&) Chacha Nehru Bal Chikitsalya, Geeta Colony, New Delhi 110029, India e-mail: [email protected] A. Kumar Armed Forces Medical College, Pune, India R. Chauhan Command Hospital, Lucknow Cantt, India
in the form of attached retina was achieved in 21 (95.45%) eyes. Standard three-port pars plana vitrectomy without scleral buckling under general anesthesia was surgical technique employed in all cases. Conclusion Densiron can be an important tamponade agent in pediatric retinal detachment complicated by PVR with increased success rate of retinal reattachment. Keywords High-density silicone oil Densiron Retinal detachment
Introduction The treatment of inferior retinal detachment (RD) with proliferative vitreoretinopathy (PVR) in the lower retinal periphery and especially in children represents a challenge for vitreoretinal surgeons. The incidence of pediatric retinal detachment in children is quiet low as compared to adults and reported to be 3.2 to 6.6% [1]. The multi-factorial etiology of RD in children has an effect on its management. The most common cause of RD in children is myopia, trauma, congenital retinal anomalies, previous intraocular surgery. The major problem, associated with prognosis and management in pediatric RD, is its delayed presentation, late diagnosis, and its association with factors like inferior dialysis, giant retinal tear making out makes the management further difficult. The most important
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intraoperative factor affecting the prognosis of vitreoretinal surgery is the presence of proliferative vitreoretinopathy (PVR) [2, 3]. Additionally, the childhood RD is more likely to recur due to the presence of adherent posterior hyaloid and contraction of vitreous near breaks. In order to overcome these factors, heavy oil tamponade has gained popularity among vitreoretinal surgeons o
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