Secondary Glaucoma Management: An Alternative to a Drainage Implant

Journal: Retina Today | Issue: November/December | Author: Dr. Martin Uram, MD, MPH, If silicone oil causes an IOP spike, endoscopic cyclophotocoagulation can be used to normalize it. There’s a good reason why silicone oil is used as an intraocular tamponade, but there is arguably a better reason why many retina surgeons avoid its use if possible: Silicone oil is a major risk factor for the development of secondary glaucoma.1 Why this danger exists, small though the risk may be, has yet to be explained.2,3 (Cont.)