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Comparison of Intraocular Pressure Before and After Silicone Oil Evacuation with Retinal Detachment History in Jakarta Hospital Farida, Nida; Sari, Nurmila; Nugraha, Ghina Fitria
The Avicenna Medical Journal Vol. 4 No. 1 (2023): The Avicenna Medical Journal
Publisher : Faculty of Medicine, UIN Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/avicenna.v4i1.31656

Abstract

Background: Retinal disorders are the fourth most common cause of blindness in Indonesia and one of them is retinal detachment. Vitrectomy with silicone oil (SO) tamponade is a popular technique for treating it. As a complication of using SO, intraocular pressure (IOP) can increase and usually returns to normal after evacuation of SO. However, in some conditions, such as emulsifying SO, can cause IOP to remain high even after SO evacuation has been carried out.Objective: To determine the comparison of intraocular pressure before and after evacuation of silicone oil in patients with a history of retinal detachment.Method: This study is a cross sectional with analytical reasearch. Secondary data was taken from the medical records of patients with a history of retinal detachment who underwent silicone oil evacuation performed at KMJA Jakarta Hospital.Result: 39 Respondents aged 23-69 years and 82% are male. The average length of use of SO is 9 months. It was found that the IOP decreased which was not significant in weeks 1-2 after evacuation of SO (p value 0.098) and also the increase in IOP was not significant in weeks 3-4 after evacuation of SO (p value 0.184).Conclusion: There is no significant difference in intraocular pressure before and after evacuation of silicone oil in patients with a history of retinal detachment
Correlation Between Duration of Using Silicone Oil Tamponade and Increased Intraocular Pressure Farida, Nida; Nugraha, Ghina Fitria; Sari, Nurmila
The Avicenna Medical Journal Vol. 4 No. 2 (2023): The Avicenna Medical Journal
Publisher : Faculty of Medicine, UIN Syarif Hidayatullah Jakarta

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.15408/avicenna.v4i2.31748

Abstract

Background: Silicone oil is an artificial liquid that functions as a tamponade agent in vitreoretinal surgery. One disadvantage of using silicone oil is that it needs advanced procedures for oil evacuation because it is not absorbed spontaneously by the retina. This evacuation is recommended as soon as the retina heals to prevent complications such as pupil block and glaucoma secondary to silicone oil (SO) emulsification and causing increased intraocular pressure (IOP).  The recommended time for SO evacuation is the first 3-6 months after surgery. The aims of this study is to determine the relationship between increased IOP and duration of use of tamponade SO.Methods: This study used a cross-sectional design by taking secondary data on retinal detachment history patients who underwent silicone oil evacuation at KMJA Hospital Jakarta from January 2019 to November 2021.Results: Respondents were 39 patients with an age range of 23-69 years and 71,8% were male. The average duration of use of SO is 9 months. In weeks 3-4 after the SO evacuation, data on the number of eyes with high IOP have obtained from as many as 9 eyes and 6 of them had used tamponade SO for more than 6 months with a p-value of 0.153.Conclusion: There was no significant association between the duration of SO tamponade use and increased IOP after SO evacuation.