New technique for removal of perfluorocarbon liquid related sticky silicone oil and literature review
作者机构:School of Ophthalmology and OptometryWenzhou Medical UniversityWenzhou 325027Zhejiang ProvinceChina Eye Hospital of Wenzhou Medical UniversityWenzhou 325027Zhejiang ProvinceChina
出 版 物:《International Journal of Ophthalmology(English edition)》 (国际眼科杂志(英文版))
年 卷 期:2021年第14卷第12期
页 面:1903-1908页
核心收录:
学科分类:1002[医学-临床医学] 100212[医学-眼科学] 10[医学]
基 金:the Wenzhou Basic ScientificResearch Program (No.20211003)
主 题:sticky silicone oil perfluorocarbon liquid silicone oil removal inner limiting membrane peel in vitro analysis
摘 要:AIM:To investigate the safety and efficacy of sticky silicone oil(SSO)removal using a 22-gauge vein detained needle and inner limiting membrane(ILM)wrap-and-peel ***:This retrospective consecutive case series reviewed the records of patients with a history of retinal detachment who had received silicone oil and perfluorocarbon liquid(PFCL)as intraocular *** were included in the analysis if they exhibited SSO remnants during silicone oil *** aspiration of most of the SSO remnants was performed by a 22-gauge vein detained *** small amounts of droplets adhered to the macula and epi-macular membrane were subsequently removed by the ILM warp-and-peel *** anatomical and functional outcomes,and postoperative complications were *** vitro experiments were performed to simulate the formation of SSO remnants in four ***:Of 711 patients who underwent silicone oil removal during the study period,9 patients exhibited SSO remnants and underwent follow-up for at least *** eyes(78%)underwent the ILM wrap-and-peel technique to completely remove small droplets of SSO that were glued to the macula and epi-macular *** obvious complications *** optical coherence tomography revealed normal retinal structure in all *** vitro analyses showed that balanced salt solution and prolonged vibration(for 1wk)had the strongest effects on silicone oil and PFCL compound ***:SSO remnants could be removed in an intact manner and without complications,using a vein detained needle-assisted and ILM wrap-and-peel *** findings suggest that PFCL and infusion fluid should be completely removed before silicone oil injection to prevent SSO formation.