[
    {
        "id": "osp-12408",
        "type": "article-journal",
        "title": "Giant retinal tear retinal detachment etiologies, surgical outcome, and incidence of recurrent retinal detachment after silicone oil removal",
        "author": [
            {
                "family": "Taleb",
                "given": "Eman Abo"
            },
            {
                "family": "Nagpal",
                "given": "Manish P"
            },
            {
                "family": "Mehrotra",
                "given": "Navneet S"
            },
            {
                "family": "Bhatt",
                "given": "Kalyani"
            },
            {
                "family": "Goswami",
                "given": "Sangeeta"
            },
            {
                "family": "Noman",
                "given": "Abdulrahaman"
            }
        ],
        "URL": "https://omanscience.com/en/articles/giant-retinal-tear-retinal-detachment-etiologies-surgical-outcome-and-incidence-of-recurrent-retinal-detachment-after-silicone-oil-removal",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2020
                ]
            ]
        },
        "container-title": "Oman Journal of Ophthalmology",
        "volume": "13",
        "issue": "3",
        "page": "117-122",
        "DOI": "10.4103/ojo.ojo_206_2017",
        "publisher": "Medknow Publications",
        "ISSN": "0974-620X",
        "abstract": "Purpose: The purpose of this study was to evaluate etiologies, management, and outcomes of patients with giant retinal tears (GRTs) undergoing primary surgery at a tertiary referral center.\n\nMethods: This was a retrospective, consecutive case series of 94 patients with at least 3 months follow-up after silicone oil removal (SOR). Fifty-seven eyes (60.6%) underwent vitrectomy, 36 eyes (38.3%) underwent combined vitrectomy with buckling, and 1 eye (1.1%) underwent scleral buckling. Perfluorocarbon liquid (PFCL) heavy liquid to flatten GRT flap intraoperative has been used then PFCL air exchange then air-silicon exchange in all eyes undergoing vitrectomy. Fellow eye was observed for retinal detachment (RD).\n\nResults: Idiopathic cause constitutes 47 eyes (50%), in which 25 eyes (26.6%) are myopic and 22 eyes (23.4%) have a history of trauma. Eighty-five eyes (90.4%) achieved anatomic success. Visual acuity at the last follow-up was at least 20/400 in 71 eyes (75.5%) of patients. Recurrent RD after SOR was found in 21 eyes (22.3%), of which 50% had proliferative vitreoretinopathy grade C (PVR-C) or more (P = 0.03) and 20% had GRT size more than 180° (P = 0.04). Pars plana vitrectomy (PPV) alone (P = 0.89) or combined PPV with buckling (P = 0.98) has no significant correlation with recurrent RD. Twenty-one percent of the fellow eye had RD.\n\nConclusion: Idiopathic cause constitutes the majority (50%). Patients with GRT who underwent surgery achieved a high anatomic success rate. PVR-C or more and GRT size more than 180° remain the most significant risk factor for recurrent RD after SOR, whereas PPV alone or combined PPV with buckling has no significant correlation with recurrent RD."
    }
]