ISSN: 1300-0365
Dil: Türkçe
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High Intraocular Pressure Following Silicone Oil Use(a Clinicopathologic Study)
Yavuz Bardak*, Yusuf Özertürk**, Mustafa Durmuş*, Cengiz Güven***, Kenan Sönmez****
* Yard.Doç.Dr., Süleyman Demirel Üniversitesi Tıp Fakültesi Göz Hastalıkları AD,** Prof.Dr., Süleyman Demirel Üniversitesi Tıp Fakültesi Göz Hastalıkları AD, ISPARTA*** Doç.Dr., Ankara Üniversitesi Tıp Fakültesi Histoloji AD, ANKARA**** Araş.Gör.Dr., Süleyman Demirel Üniversitesi Tıp Fakültesi Göz Hastalıkları AD, ISPARTA
The aim of the study was to investigate the role of preoperative findings, intraoperative procedures and postoperative findings and histopathologic aspects in cases with high intraocular pressure (IOP) following the pars plana vitrectomy and silicone oil injection. Sixtyfour eyes of the 64 patients having pars plana vitrectomy and silicone oil injection were included in this study and patients with high IOP in preoperative period were excluded. In postoperative controls high IOPs at different levels were observed in 16 patients (25%). The mean (± standard deviation) IOP of these 16 patients was 30.56 ± 6.77 mm Hg (range; 23-45 mm Hg). High IOP was brought under control in 5 patients (%31.25) with medical treatment, 3 patients (%18.75) with silicone oil removal, 4 patients (%25) with silicone oil removal and medical treatment, 3 patients (%18.75) with silicone oil removal and then trabeculectomy, 1 patient (%6.25) with silicone oil removal and pars plana modified silicone tube implantation. In 3 patients (%18.75) IOP could not be able taken under control. After these procedures, in the last control the mean IOP was 20.25 ± 3.13 mm Hg (16-28 mm Hg). Preoperative findings and intraoperative procedures were not significant factors for postoperative high IOP (p=0.274 and 0.08). Emulsification was the only significant postoperative finding for postoperative high IOP (p=0.04). Electron microscopy showed degeneration in trabecular tissue. Patients having pars plana vitrectomy and silicone oil injection are to be followed-up closely for silicone oil emulsification and the removal of silicone oil and the following appropriate treatments are effective to control the high IOP.Keywords: Electron microscopy, Intraocular pressure,
Silicone oilTurkiye Klinikleri J Ophthalmol 1999, 8:271-276
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