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August 1982

Use of Silicone Oil

Arch Ophthalmol. 1982;100(8):1354-1355. doi:10.1001/archopht.1982.01030040332031

To the Editor.  —There is a renewed interest in the use of silicone oil for treatment of complicated retinal detachments, particularly in massive periretinal proliferation and giant tears. Because much of the clinical and investigational use of this material was done more than ten years ago, I would like to reemphasize certain lessons learned from that experience.When one injects silicone intravitreally and succeeds in reattaching the posterior retina, the postoperative appearance is gratifying to the surgeon. The retina is attached, the media are crystal clear, and the remaining vitreous membranes are compressed peripherally. It takes at least two to three years for serious postoperative complications to appear. These complications are mainly repeated detachment of the retina and silicone emulsification.Silicone oil in itself will not stop the progression of preretinal membrane formation that is the usual cause of failure of surgery of massive periretinal proliferation. Since silicone has a

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