Dellen formation as a complication of subconjunctival silicone oil following microincision vitrectomy

Mohamed M Mahgoub,1,2 Maged M Roshdy,1,2 Sherine S Wahba1,2 1Ophthalmology Department, Ain Shams University, 2Ophthalmology Department, Al Watany Eye Hospital, Cairo, Egypt Purpose: To study the subconjunctival silicone oil (SCSO) parameters associated with dellen formation following microincision...

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Autores principales: Mahgoub MM, Roshdy MM, Wahba SS
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Lenguaje:EN
Publicado: Dove Medical Press 2017
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spelling oai:doaj.org-article:427269d93a024accb883e58096b10d042021-12-02T01:38:33ZDellen formation as a complication of subconjunctival silicone oil following microincision vitrectomy1177-5483https://doaj.org/article/427269d93a024accb883e58096b10d042017-12-01T00:00:00Zhttps://www.dovepress.com/dellen-formation-as-a-complication-of-subconjunctival-silicone-oil-fol-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Mohamed M Mahgoub,1,2 Maged M Roshdy,1,2 Sherine S Wahba1,2 1Ophthalmology Department, Ain Shams University, 2Ophthalmology Department, Al Watany Eye Hospital, Cairo, Egypt Purpose: To study the subconjunctival silicone oil (SCSO) parameters associated with dellen formation following microincision vitrectomy (MIV).Patients and methods: This was a case–control study of 20 eyes with SCSO following MIV. Ten of them suffered postoperative dellen formation. Dellen occurrence, their sizes, number of loci, and distance between SCSO and the limbus were recorded. The outcome after silicone-oil removal was evaluated.Results: The SCSO was at 3.1±1.2 mm from the limbus. All cases with dellen had SCSO within 2 mm of the limbus (P<0.001). No other factors were found to be associated with dellen formation (age, P=0.414; sex, P=0.656; laterality, P=1; indication for pars plana vitrectomy, P=0.655; instrument gauge, P=0.211; circumference involved by SCSO, P=0.252). All the dellen healed after surgical evacuation of SCSO (P<0.001), leaving scars.Conclusion: Dellen can be associated with MIV secondary to SCSO near the limbus. Resolution with scarring occurred following SCSO evacuation. Therefore, SCSO should be evacuated as early as possible to avoid long-term peripheral corneal morbidity. Keywords: silicone oil-removal, subconjunctival silicone oil, dellen, vitrectomyMahgoub MMRoshdy MMWahba SSDove Medical PressarticleSilicone oil removalsubconjunctival silicone oildellenvitrectomy.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 11, Pp 2215-2219 (2017)
institution DOAJ
collection DOAJ
language EN
topic Silicone oil removal
subconjunctival silicone oil
dellen
vitrectomy.
Ophthalmology
RE1-994
spellingShingle Silicone oil removal
subconjunctival silicone oil
dellen
vitrectomy.
Ophthalmology
RE1-994
Mahgoub MM
Roshdy MM
Wahba SS
Dellen formation as a complication of subconjunctival silicone oil following microincision vitrectomy
description Mohamed M Mahgoub,1,2 Maged M Roshdy,1,2 Sherine S Wahba1,2 1Ophthalmology Department, Ain Shams University, 2Ophthalmology Department, Al Watany Eye Hospital, Cairo, Egypt Purpose: To study the subconjunctival silicone oil (SCSO) parameters associated with dellen formation following microincision vitrectomy (MIV).Patients and methods: This was a case–control study of 20 eyes with SCSO following MIV. Ten of them suffered postoperative dellen formation. Dellen occurrence, their sizes, number of loci, and distance between SCSO and the limbus were recorded. The outcome after silicone-oil removal was evaluated.Results: The SCSO was at 3.1±1.2 mm from the limbus. All cases with dellen had SCSO within 2 mm of the limbus (P<0.001). No other factors were found to be associated with dellen formation (age, P=0.414; sex, P=0.656; laterality, P=1; indication for pars plana vitrectomy, P=0.655; instrument gauge, P=0.211; circumference involved by SCSO, P=0.252). All the dellen healed after surgical evacuation of SCSO (P<0.001), leaving scars.Conclusion: Dellen can be associated with MIV secondary to SCSO near the limbus. Resolution with scarring occurred following SCSO evacuation. Therefore, SCSO should be evacuated as early as possible to avoid long-term peripheral corneal morbidity. Keywords: silicone oil-removal, subconjunctival silicone oil, dellen, vitrectomy
format article
author Mahgoub MM
Roshdy MM
Wahba SS
author_facet Mahgoub MM
Roshdy MM
Wahba SS
author_sort Mahgoub MM
title Dellen formation as a complication of subconjunctival silicone oil following microincision vitrectomy
title_short Dellen formation as a complication of subconjunctival silicone oil following microincision vitrectomy
title_full Dellen formation as a complication of subconjunctival silicone oil following microincision vitrectomy
title_fullStr Dellen formation as a complication of subconjunctival silicone oil following microincision vitrectomy
title_full_unstemmed Dellen formation as a complication of subconjunctival silicone oil following microincision vitrectomy
title_sort dellen formation as a complication of subconjunctival silicone oil following microincision vitrectomy
publisher Dove Medical Press
publishDate 2017
url https://doaj.org/article/427269d93a024accb883e58096b10d04
work_keys_str_mv AT mahgoubmm dellenformationasacomplicationofsubconjunctivalsiliconeoilfollowingmicroincisionvitrectomy
AT roshdymm dellenformationasacomplicationofsubconjunctivalsiliconeoilfollowingmicroincisionvitrectomy
AT wahbass dellenformationasacomplicationofsubconjunctivalsiliconeoilfollowingmicroincisionvitrectomy
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