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REVIEW PAPER
New Developments in Silicon Oil-induced Glaucoma versus Clinical Experience – a Review with a Case Series
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Tomasz Gałecki 1,2, A,E-F
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Alicja Wosińska 1,2, A,D-F
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Anna Kamińska 1,2, A,E-F
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Jacek Szaflik 1,2, A,E-F
 
 
 
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1
Department of Ophthalmology, Medical University of Warsaw, Poland Head: Professor Jacek P. Szaflik, PhD, MD
 
2
SPKSO Ophthalmic University Hospital in Warsaw, Poland Head: Professor Jacek P. Szaflik, PhD, MD
 
 
A - Research concept and design; B - Collection and/or assembly of data; C - Data analysis and interpretation; D - Writing the article; E - Critical revision of the article; F - Final approval of article
 
 
Submission date: 2025-08-26
 
 
Acceptance date: 2025-11-09
 
 
Publication date: 2026-01-15
 
 
Corresponding author
Natalia Winiarska   

Department of Ophthalmology, Public Ophthalmic Clinical Hospital (SPKSO), Medical University of Warsaw, Warsaw, Poland., Poland
 
 
Ophthalmology 2025;28(3):24-29
 
KEYWORDS
TOPICS
ABSTRACT
Introduction: Silicon oil-induced glaucoma is a serious complication of the pars plana vitrectomy with a silicon oil tamponade. It arises from mechanisms like silicon oil migration, emulsification, and pre-existing risk factors. This study seeks to provide a comprehensive overview of the existing understanding of this disease, including its diagnosis and novel methods of management, while offering clinical insights. Material and Methods: This study consists of a literature review and a retrospective case series. A comprehensive search was performed across numerous medical databases for studies focusing on silicon oil-induced glaucoma management. Additionally, a case series of 6 patients with silicon oil-induced glaucoma is presented. Results: Articles covering diverse interventions including trabeculectomy, glaucoma drainage devices, Ex-PRESS shunts, and others were identified and summarised. Glaucoma drainage devices demonstrated the most consistent long-term intraocular pressure control. Case series findings aligned with the literature, with the Baerveldt implant achieving sustained intraocular pressure reduction and visual stability in most patients. Conclusions: Intraocular pressure should be closely monitored long-term after silicone oil tamponade, especially in high-risk patients. Silicone oil-induced glaucoma is a multifactorial condition that requires management by clinicians with substantial expertise and familiarity in this specialised area.
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ISSN:1505-2753
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