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January 1987

Management of Recurrent Retinal Detachment After Silicone Oil Injection

Arch Ophthalmol. 1987;105(1):27-28. doi:10.1001/archopht.1987.01060010033018

To the Editor.  —Recurrent retinal detachment is a common occurrence following vitrectomy combined with silicone oil injection in the treatment of proliferative vitreoretinopathy (PVR).1 This redetachment is most often in the inferior retina. Various methods of management have been advocated, ranging from the injection of additional silicone oil ("topping off")2 to repeated membrane peeling with retinotomy.1 We report two cases of recurrent inferior retinal detachment following silicone oil injection that were successfully managed by positioning the patient so that the oil bubble blocked an open retinal break, allowing additional photocoagulation to produce a chorioretinal adhesion.

Report of Cases. 

—Case 1.  —A 13-year-old boy with high myopia was referred to Emory Eye Center, Atlanta, in March 1986, with a recurrent retinal detachment with PVR in a closed-funnel configuration (stage D3). On March 18, 1986, the patient underwent lensectomy, vitrectomy, silicone oil injection, and endophotocoagulation. One week postoperatively,

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