Acute corneal decompensation after silicone oil removal

Purpose: To assess acute corneal decompensation after silicone oil removal in some aphakic eyes with clear corneas whose anterior chambers were completely filled with silicone oil for a considerable period of time. Methods: Eight eyes of 8 patients who underwent vitrectomy and intraocular silicone oil injection were studied. All the eyes were aphakic and anterior chambers were completely filled with silicone oil. In all eyes, corneas were clear and no corneal finding indicating keratopathy was detected by slit-lamp microscopy before silicone oil removal. The mean silicone oil removal time was 4 months (range 2-7 months). A specular microscope was used for the evaluation of corneal endothelial changes and corneal pachometry was performed to observe corneal changes before and after the silicone oil removal in 5 eyes besides slit-lamp microscopy. The follow up period after silicone oil removal was 2-12 months (mean 6 months). Results: In all eyes severe corneal stromal edema and clouding was detected in the first day following silicone oil removal. Increased corneal thickness was seen in all eyes. Decreased (at or below critical levels) corneal cell density was detected by specular microscopy before and after silicone oil removal. No significant improvement was observed during the follow up period. Conclusion: Eyes whose anterior chambers completely filled with silicone oil could be evaluated as clear corneas by slit lamp microscopy despite severe endothelial damage. We recommend that eyes with silicone oil in the anterior chambers should be monitored by a combination of slit-lamp microscopic examination and specular microscopy to determine the relative corneal endothelial tolerance to the silicone oil and endothelial damage. Early removal of the silicone oil can be considered when the retinal adhesion allows.

Yazar Gurelik G.
Safak N.
Koksal M.
Bilgihan K.
Hasanreisoglu B.
Yayın Türü Article
Tek Biçim Adres https://hdl.handle.net/20.500.12628/4124
Tek Biçim Adres 10.1023/A:1010652521578
Konu Başlıkları Corneal pachometry
Keratopathy
Silicone oil
Specular microscopy
Koleksiyonlar Araştırma Çıktıları | WoS | Scopus | TR-Dizin | PubMed | SOBİAD
Scopus İndeksli Yayınlar Koleksiyonu
Dergi Adı International Ophthalmology
Dergi Cilt Bilgisi 23
Dergi Sayısı 3
Sayfalar 131 - 135
Yayın Yılı 1999
Eser Adı
[dc.title]
Acute corneal decompensation after silicone oil removal
Yazar
[dc.contributor.author]
Gurelik G.
Yazar
[dc.contributor.author]
Safak N.
Yazar
[dc.contributor.author]
Koksal M.
Yazar
[dc.contributor.author]
Bilgihan K.
Yazar
[dc.contributor.author]
Hasanreisoglu B.
Yayın Yılı
[dc.date.issued]
1999
Yayıncı
[dc.publisher]
Springer Netherlands
Yayın Türü
[dc.type]
article
Özet
[dc.description.abstract]
Purpose: To assess acute corneal decompensation after silicone oil removal in some aphakic eyes with clear corneas whose anterior chambers were completely filled with silicone oil for a considerable period of time. Methods: Eight eyes of 8 patients who underwent vitrectomy and intraocular silicone oil injection were studied. All the eyes were aphakic and anterior chambers were completely filled with silicone oil. In all eyes, corneas were clear and no corneal finding indicating keratopathy was detected by slit-lamp microscopy before silicone oil removal. The mean silicone oil removal time was 4 months (range 2-7 months). A specular microscope was used for the evaluation of corneal endothelial changes and corneal pachometry was performed to observe corneal changes before and after the silicone oil removal in 5 eyes besides slit-lamp microscopy. The follow up period after silicone oil removal was 2-12 months (mean 6 months). Results: In all eyes severe corneal stromal edema and clouding was detected in the first day following silicone oil removal. Increased corneal thickness was seen in all eyes. Decreased (at or below critical levels) corneal cell density was detected by specular microscopy before and after silicone oil removal. No significant improvement was observed during the follow up period. Conclusion: Eyes whose anterior chambers completely filled with silicone oil could be evaluated as clear corneas by slit lamp microscopy despite severe endothelial damage. We recommend that eyes with silicone oil in the anterior chambers should be monitored by a combination of slit-lamp microscopic examination and specular microscopy to determine the relative corneal endothelial tolerance to the silicone oil and endothelial damage. Early removal of the silicone oil can be considered when the retinal adhesion allows.
Kayıt Giriş Tarihi
[dc.date.accessioned]
2019-12-23
Açık Erişim Tarihi
[dc.date.available]
2019-12-23
Yayın Dili
[dc.language.iso]
eng
Konu Başlıkları
[dc.subject]
Corneal pachometry
Konu Başlıkları
[dc.subject]
Keratopathy
Konu Başlıkları
[dc.subject]
Silicone oil
Konu Başlıkları
[dc.subject]
Specular microscopy
Haklar
[dc.rights]
info:eu-repo/semantics/closedAccess
ISSN
[dc.identifier.issn]
0165-5701
İlk Sayfa Sayısı
[dc.identifier.startpage]
131
Son Sayfa Sayısı
[dc.identifier.endpage]
135
Dergi Adı
[dc.relation.journal]
International Ophthalmology
Dergi Sayısı
[dc.identifier.issue]
3
Dergi Cilt Bilgisi
[dc.identifier.volume]
23
Tek Biçim Adres
[dc.identifier.uri]
https://dx.doi.org/10.1023/A:1010652521578
Tek Biçim Adres
[dc.identifier.uri]
https://hdl.handle.net/20.500.12628/4124
Görüntülenme Sayısı ( Şehir )
Görüntülenme Sayısı ( Ülke )
Görüntülenme Sayısı ( Zaman Dağılımı )
Görüntülenme
19
09.12.2022 tarihinden bu yana
İndirme
1
09.12.2022 tarihinden bu yana
Son Erişim Tarihi
09 Şubat 2024 08:31
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Tıklayınız
silicone corneal removal microscopy endothelial anterior chambers period detected corneas filled completely slit-lamp before specular damage changes months aphakic follow months) severe significant Decreased Conclusion critical density during observed improvement levels) Purpose evaluated examination allows
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