Management of complicated retinal detachment by using silicone oil as a tool

Aim: to study the efficacy of liquid silicone to be used as an instrument in the primary procedure to elevate membranes from the detached retina so that the traction over the retina is relieved and retina goes onto its bed. methods: patients selected for this study were those who presented with complicated retinal detachment in outpatient department of ophthalmology,bv hospital bahawalpur. the patients came directly were refereed from remote areas. results: the study was carried out from may,2016 to july,2016.during this period,30 eye patients with retinal detachment were operated. the average age was 40 years (ranges from 10-73 years).average duration of decreased vision in the effected eye was 25 days (ranging from 10-60 days).pre operative visual aquity ranged from faulty projections to counting fingers. the cases with faulty projections were considered for surgery due to blindness in other eye. two groups of patients were formed depending upon different surgical techniques. conclusions: incidence of pvd is more in aphaik retinal detachments than phakic retinal detachment. before proceeding for surgery,thorough clinical examination is mandatory especially dynamic vitreous retinal study. patients should be briefed about prognosis. liquid silicone can be used as surgical tool to manage complicated retinal detachment using liquid silicone as surgical tool depends upon the elasticity differential between the pvr membranes and retina. © 2016,lahore medical and dental college. all rights reserved.