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©The Author(s) 2025.
World J Exp Med. Sep 20, 2025; 15(3): 106429
Published online Sep 20, 2025. doi: 10.5493/wjem.v15.i3.106429
Published online Sep 20, 2025. doi: 10.5493/wjem.v15.i3.106429
Table 1 Inclusion and exclusion criteria of this systematic review
| Criteria | |
| Inclusion criteria | Publications on silicone oil migration to central nervous system |
| Publications from 1994 to June 1, 2024 | |
| All types of publications, including case reports, case series, retrospective case control, cohort studies, randomized controlled trials | |
| Exclusion criteria | Non-English language publications |
| Studies without neuro-imaging of the cerebral ventricles |
Table 2 Details comparison of eyes included in group 1 and group 2, n (%)
| Group 1 (n = 11) | Group 2 (n = 43) | Fisher's exact test | Mann-Whitney U tests | Binary logistic regression | |
| Patient demographics | |||||
| Male | 6 (54.5) | 25 (58.1) | P = 1.00 | P = 0.152 | |
| Age (years) mean ± SD | 55.8 ± 17.5 | 59.9 ± 16.1 | P = 0.43 | P = 0.664 | |
| Diabetes mellitus | 2 (18.2) | 23 (53.5) | P = 0.05 | aP = 0.037 | |
| Visual acuity (logMAR) | 2.74± 1.00 | 2.84± 0.42 | P = 0.06 | aP = 0.011 | |
| SiO-filled eyes' ocular characteristics | |||||
| Congenital disc pit | 0 (0.0) | 1 (2.3) | P = 1.00 | P = 0.424 | |
| Optic nerve atrophy/cupping | 2 (18.2) | 9 (21.0) | P = 1.00 | P = 0.790 | |
| Scleral buckle | 1 (9.1) | 2 (4.7) | P = 0.50 | P = 0.696 | |
| Glaucoma drainage device | 0 (0.0) | 3 (7.0) | P = 1.00 | P = 0.242 | |
| Vitrectomy surgical details | |||||
| Post-operative intraocular pressure (mmHg) | 31.9± 16.2 | 49.1± 16.5 | aP = 0.047 | aP = 0.012 | |
| SiO emulsification | 1 (9.1) | 2 (4.7) | P = 0.50 | P = 0.696 | |
| Endotamponade time (months) | 10.3± 10.9 | 67.3± 64.8 | aP = 0.002 | P = 0.152 | |
| Presenting symptoms | |||||
| Headache | 3 (27.3) | 17 (39.5) | P = 0.73 | P = 0.869 | |
| Nausea | 0 (0.0) | 4 (9.3) | P = 0.57 | P = 0.424 | |
| Dizziness | 2 (18.2) | 7 (16.3) | P = 1.00 | P = 0.242 | |
| Loss of consciousness | 1 (9.1) | 9 (21.0) | P = 0.67 | P = 0.242 | |
| Mental change | 1 (9.1) | 5 (11.6) | P = 1.00 | P = 0.424 | |
| Painful eye | 2 (18.2) | 2 (4.7) | P = 0.18 | P = 0.696 | |
| Visual field loss | 1 (9.1) | 0 (0.0) | P = 0.20 | P = 0.182 | |
| Visual change | 2 (18.2) | 8 (18.6) | P = 1.00 | P = 0.790 |
- Citation: Wong LW, Lam WY, Au SCL. Systematic review and risk factor analysis of post-vitrectomy silicone oil migration to the central nervous system. World J Exp Med 2025; 15(3): 106429
- URL: https://www.wjgnet.com/2220-315X/full/v15/i3/106429.htm
- DOI: https://dx.doi.org/10.5493/wjem.v15.i3.106429
