© 1990 S. K arger A G. Basel 0030-3755/90/2004-0189 S 2.75/0
Ophthalmologies 1990:200:189-193
Silicone Oil Tamponade in the Management of Severe Hemorrhagic Detachment of the Choroid and Ciliary Body after Surgical Trauma E. Alexandridis University Eye Hospital. Heidelberg. FRG
Key Words. Hemorrhagic ciliochoroidal detachment • Surgical trauma ■Silicone oil • Ocular hypotony Abstract. Eight patients with massive hemorrhagic choroidal and ciliary body detachment after surgical trauma leading to all signs of a beginning phthisis bulbi have been treated by means of silicone oil tamponade in conjunction with multiple subchoroidal drainage and vitrectomy. Almost complete reattachment of the retina and choroid was achieved in all eyes accompanied by improvement of visual function. However, hypotony was persistent in 3 eyes. Two eyes with postoperative hypotony worsened dramatically after silicone oil removal. After silicone refilling both eyes markedly recovered within 6 and 8 weeks.
Severe choroidal hemorrhages can extend into the vitreous and the anterior chamber. Apart from choroidal and retinal detachment they can lead to hemorrhagic detachment of the ciliary body. Finally hypotony, corneal edema and, if the eye is still phakic, complicat ed cataract complete the clinical picture of oc ular collapse and subsequent phthisis bulbi. As has been described above, in 8 hopeless cases (fig. 1) which occurred after surgical trau ma, silicone oil tamponade was used in con junction with subchoroidal drainage and vit rectomy partly combinded with lensectomy. The results show the importance of the post
ing. I. CT scan of a massive hcrmorrhagic choroidal and ciliary body detachment after retina surgery with posterior position of the buckling exoplant (patient 3. group B).
Downloaded by: Kings's College London 137.73.144.138 - 8/7/2017 5:57:58 PM
Introduction
Alexandridis
190
Patient After cataract surgery
Ophthalmologies 1990:200:189-193
Silicone Oil Tamponade in the Management of Severe Hemorrhagic Detachment of the Choroid and Ciliary Body after Surgical Trauma E. Alexandridis University Eye Hospital. Heidelberg. FRG
Key Words. Hemorrhagic ciliochoroidal detachment • Surgical trauma ■Silicone oil • Ocular hypotony Abstract. Eight patients with massive hemorrhagic choroidal and ciliary body detachment after surgical trauma leading to all signs of a beginning phthisis bulbi have been treated by means of silicone oil tamponade in conjunction with multiple subchoroidal drainage and vitrectomy. Almost complete reattachment of the retina and choroid was achieved in all eyes accompanied by improvement of visual function. However, hypotony was persistent in 3 eyes. Two eyes with postoperative hypotony worsened dramatically after silicone oil removal. After silicone refilling both eyes markedly recovered within 6 and 8 weeks.
Severe choroidal hemorrhages can extend into the vitreous and the anterior chamber. Apart from choroidal and retinal detachment they can lead to hemorrhagic detachment of the ciliary body. Finally hypotony, corneal edema and, if the eye is still phakic, complicat ed cataract complete the clinical picture of oc ular collapse and subsequent phthisis bulbi. As has been described above, in 8 hopeless cases (fig. 1) which occurred after surgical trau ma, silicone oil tamponade was used in con junction with subchoroidal drainage and vit rectomy partly combinded with lensectomy. The results show the importance of the post
ing. I. CT scan of a massive hcrmorrhagic choroidal and ciliary body detachment after retina surgery with posterior position of the buckling exoplant (patient 3. group B).
Downloaded by: Kings's College London 137.73.144.138 - 8/7/2017 5:57:58 PM
Introduction
Alexandridis
190
Patient After cataract surgery
