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Unexplained Vision Loss Associated With Intraocular Silicone Oil Tamponade in Rhegmatogenous Retinal Detachment
Parastou Pakravan1, Abdulla Shaheen1, Veshesh Patel1
1Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami Miller School of Medicine, Miami, FL, USA.
Journal of Vitreoretinal Diseases
|November 6, 2023
Summary
Unexplained vision loss can occur during or after silicone oil (SO) tamponade, often associated with ganglion cell layer thinning. While some visual recovery is possible, it may be incomplete.
Area of Science:
- Ophthalmology
- Retinal Surgery
- Visual Neuroscience
Background:
- Silicone oil (SO) tamponade is a common intraocular procedure.
- Unexplained vision loss is a potential complication following SO use.
Purpose of the Study:
- To investigate the visual outcomes in patients experiencing unexplained vision loss during or after SO tamponade.
- To identify factors associated with vision loss in this cohort.
Main Methods:
- Multicenter retrospective case series.
- Inclusion of patients with unexplained vision loss related to SO tamponade or removal.
- Exclusion of eyes with other identifiable causes of vision loss.
- Optical coherence tomography (OCT) for structural assessment.
Main Results:
- Twenty-nine eyes of 28 patients were analyzed.
- Vision loss occurred during SO tamponade (62%) or after removal (38%).
- Ganglion cell layer (GCL) thinning was the most common OCT finding (55%).
- Visual acuity showed initial deterioration followed by partial recovery after SO removal.
Conclusions:
- Unexplained vision loss is a recognized complication of SO tamponade.
- GCL thinning on OCT is frequently observed in affected eyes.
- Visual recovery is possible but often incomplete, emphasizing the need for careful monitoring.
