Limitations of silicone oil in vitreous surgery

ABSTRACT

Thirty five cases of complicated retinal detachment, such as giant retinal tears, advanced proliferative vitreo-retinopathy, recurrent retinal detachment, posterior retinal breaks and diabetic tractional and rhegmatogenous retinal detachment, were operated upon; by modem vitreo-retinal surgery and liquid silicone injection. An anatomical reposition was attained in 95% of cases. Useful vision was reached in 55%, while ambulatory vision was reached in 40%. Complications were few over a period of one year. Advantages, disadvantages, limitations and rationale of the use of liquid silicone are discussed