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Year : 2017  |  Volume : 4  |  Issue : 1  |  Page : 9-14

Densiron-68 in the treatment of retinal detachment associated with inferior proliferative vitreoretinopathy or caused by lower or posterior breaks

Department of Ophthalmology, Zagazig University, Zagazig, Egypt

Correspondence Address:
Mukhtar Amin Al-Humiari
Department of Ophthalmology, Zagazig University, P. O. Box 53, Zagazig 44511
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/erj.erj_18_16

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Aim: The aim of this study is to demonstrate the efficacy and complications of heavy silicone oil (Densiron-68®) in the treatment of retinal detachment (RD) with inferior, posterior breaks, or associated with proliferative vitreoretinopathy (PVR). Materials and Methods: A prospective interventional noncomparative case series study of 25 eyes of 25 patients. Inclusion criteria were patients having RD arising from PVR, posterior breaks or inferior retinal breaks between 4 and 8 o'clock hours. Primary vitrectomy followed by Densiron-68 injection was performed for each patient. The study protocol involved at least 8 visits: 1st day, 1, 2, 3 weeks 1, 2, 3, and 6 months. Densiron-68 removal was performed after 2–3 months. The assessment of retinal attachment, visual acuity (VA), and complications were recorded. Results: Final anatomical success was 84% (21 of 25) cases which increased to 92% with second intervention. Mean final VA improved from mean logarithm of minimum angle of resolution of 1.89 (0.66) preoperatively to 1.094 (0.29) postoperatively. The most common complications were cataract in 60% of phakic eyes, and early emulsification in 32%. Conclusion: Densiron-68 could be used to support the lower retina in cases with RD associated with PVR, inferior, or posterior breaks. It gives a better tamponade to the inferior retina in the in the supine or upright positioning of the patient with high anatomical success rate.

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