Retina-Vitreous
2006 , Vol 14 , Num 4
The Use of Silicon Oil in Vitreoretinal Surgery
1SB Ankara Ulucanlar Göz Eğitim ve Araş. Hast. 2. Göz Kliniği, Ankara, Uzm. Dr.2SB Ankara Ulucanlar Göz Eğitim ve Araş. Hast. 2. Göz Kliniği, Ankara, Doç. Dr.
3SB Ankara Ulucanlar Göz Eğitim ve Araş. Hast. 2. Göz Kliniği Şefi, Ankara, Uzm. Dr. The beginning of using silicone oil in 1962s dramatically improved the quality of posterior segment surgery. The purpose of silicone oil vitreous substitution is to provide long-term tamponade of the retina. The most commonly used silicone oil in ophthalmology is polydimethylsiloxane. Silicon oil is used especially in retinal detachments with giant breaks with rolled-over retina, retinal detachment with Proliferative Vitreoretinopathy (PVR), and retinal detachment with advanced atrophy and multiple breaks. Silicone oil can result in a number of complications. Cataract is probably inevitable in eyes permanently filled with silicone oil. Glaucoma can result from pupillary block. Keratopathy occurs if the anterior chamber is filled with silicone. Because of its potential complications, silicone oil is generally removed from eyes in which it is considered safe to do so once the process of PVR has become quiescent. Silicone removal is associated with a considerable risk of retinal redetachment. The indications and complications with silicone oil in vitreoretinal surgery are discussed in this article. Keywords : Silicone oil, vitreoretinal surgery