AMA Publishing Group: Retinal Detachment Topic Collection

Delayed Presentation of Emulsified Subretinal Silicone Oil Appearing as an Inverse Macular Pseudohypopyon

Gosse E, Lochhead J. — Wed, 01 May 2013 00:00:00 GMT

The use of silicone oil is well established in complex retinal detachment surgery, and it is still the most frequently used internal tamponade in the management of giant retinal tear. The common complications associated with silicone oil have been extensively described. Subretinal silicone oil is an infrequent but serious complication. The delayed presentation of subretinal silicone oil is uncommon and has previously been described in cases of retinal detachment associated with optic disc pit. We describe an unusual late complication of subretinal silicone oil presenting as an inverse macular pseudohypopyon in a patient successfully treated for giant retinal tear 25 years previously.

Pars Plana Vitrectomy for Primary Retinal Detachment Persistent Anterior Peripheral Retinal Detachment Pars Plana Vitrectomy for Retinal Detachment

Silva RA, Flynn HW, Ryan EH, et al. — Wed, 01 May 2013 00:00:00 GMT

In the century since rhegmatogenous retinal detachment was first repaired by Jules Gonin, a variety of surgical techniques have been successfully used. From the introduction of the scleral buckle by Ernst Custodis, MD, in 1949 to the development of the pars plana vitrectomy (PPV) by Robert Machemer, MD, in 1971, the principles of retinal reattachment remain consistent: identify the retinal breaks, treat the retinal breaks, and relieve vitreoretinal traction. Contemporary techniques provide unparalleled opportunities to address a variety of complex retinal detachments, but these techniques should not steer vitreoretinal surgeons away from these basic principles.