scholarly journals A novel design silicone oil removal cannula

2021 ◽  
Vol 12 (12) ◽  
pp. 39-43
Author(s):  
Fevzi Akkan ◽  
Dincer Dinc
Keyword(s):  
Silicone Oil ◽  
Recovery Period ◽  
Oil Removal ◽  
Membrane Peeling ◽  
Silicone Oil Removal ◽  
Duration Of Surgery ◽  
The Mean ◽  
23 Gauge ◽  
Operative Recovery

Background: Silicone oil, which is one of the most commonly used endotamponades in vitreoretinal surgery, is removed after a certain period of time in most cases. In this study, we present our results with a unique cannula that provides effective and safe silicone oil removal. Aims and Objectives: To assess the aids and success of silicone oil removal with a novel 23-gauge cannula for the patients who underwent pars plana vitrectomy and silicone oil injection before. Materials and Methods: 72 eyes of 64 patients who operated by the same surgeon (FA) between May 2017 and May 2019 were involved in the study. The primary indications were proliferative diabetic retinopathy in 46 (63.9%) eyes and retinal detachment in 26 (36.1%) eyes. Phacoemulsification and intraocular lens implantation (23 eyes), membrane peeling (23 eyes), internal limiting membrane peeling (5 eyes), and argon laser endo-photocoagulation (37 eyes) performed in the same session. Furthermore, perfluorocarbon remnants aspirated in 9 eyes and 17 eyes needed suturing. Descriptive statistical analyses achieved by SPSS 10.5 statistical software. Results: The mean follow-up time was 11.7 + 2.5 months (between 3 and 23 months), and the mean age was 61.4 + 8.52 years (between 44 and 69 years). 1000 centistokes (cSt) silicone oil was removed from 61 (84.7%) eyes, and 5000 cSt silicone oil was removed from 11 (15.3%) eyes. The mean removal time was 2.04 + 0.1 min for 1000 cSt silicone oil and 5.11 + 0.3 min for 5000 cSt silicone oil. 4 re-detachment and 3 vitreous hemorrhage observed in follow-up period. Post-operative silicone oil remnants were not detected in any patient. Conclusion: The unique 23-gauge cannula provides silicone oil removal without any conjunctival cut-down and sclerotomy enlargement. Thus, it reduces the duration of surgery and post-operative recovery period.

Intraocular mitomycin C use in the treatment and prophylaxis of proliferative vitreoretinopathy in severe traumatic retinal detachments

2020 ◽  
pp. 112067212097603
Author(s):  
Gökhan Gürelik ◽  
Sabahattin Sül ◽  
Ahmet Yücel Üçgül
Keyword(s):  
Visual Acuity ◽  
Mitomycin C ◽  
Proliferative Vitreoretinopathy ◽  
Silicone Oil ◽  
Vitreoretinal Surgery ◽  
Oil Removal ◽  
Visual Outcomes ◽  
Silicone Oil Removal ◽  
The Mean

Purpose: To evaluate the anatomic and visual outcomes of a new intraocular mitomycin c (MMC) application technique in the treatment of severe traumatic retinal detachment (RD) with advance proliferative vitreoretinopathy (PVR). Methods: The records of 15 eyes of 14 patients who underwent vitreoretinal surgery and intraoperative MMC application were reviewed retrospectively. Surgical technique: After performing complicated vitreoretinal surgical procedures (Pars plana vitrectomy, PVR membrane stripping, large retinotomy/retinectomies and intraocular foreign body removal if found etc. . .) retina was attached with perfluorocarbon liquid (PFCL) and partial fluid-air exchange. Endolaser was performed. PFCL was removed to the posterior borders of retinochoroidal wounds, breaks or retinectomy sites. The remaining PFCL was enough to cover and prevent MMC contact with the posterior vital structures including optic disc, macula and underlying RPE and major vascular arcades. Ciliary epithelium and other anterior segment structures were protected from MMC contact with the use of air in the rest of the eye. Then, a 10 µg/mL concentrated MMC solution was carefully injected above the PFCL bubble until it covered PVR or potential areas of PVR development and removed after 60 s. Finally, the remaining PFCL was removed and all eyes were filled with silicone oil. The patients were followed at least 6 months after silicone oil removal. Visual and anatomic outcomes were determined during follow-up period. Results: The mean follow-up time was 19.6 ± 6 months (range 12–27 months). About 100% retinal attachment was achieved with one vitreoretinal surgery during the follow-up period. PVR was not detected around the retinal breaks or retinotomy sites in any eye. Limited macular epiretinal membrane was detected in two eyes and subsequently peeled during silicone oil removal. Preoperative visual acuities were hand motions in seven eyes and light perception in eight eyes. Nine of 15 eyes had a visual acuity of ⩾0.1 during the follow-up period. The mean preoperative visual acuity was logMAR 2.16 ± 0.15 and postoperative visual acuity was 0.80 ± 0.50 ( p = 0.001). There were no additional complications related to intraoperative MMC use during follow-up period. Conclusion: Temporary intraocular MMC use in vitreoretinal surgery yielded good anatomic and visual outcomes after the treatment of traumatic RDs with PVR or those with high risk of PVR development. Furthermore, MMC application appeared to prevent further PVR development after vitreoretinal surgery.

Endoscopy-Assisted Vitrectomy Outcomes During Silicone Oil Removal After Complex Retinal Detachment Repair

2019 ◽  
Vol 3 (6) ◽  
pp. 445-451 ◽  
Author(s):  
Natalia Vila ◽  
Emmanouil Rampakakis ◽  
Flavio Rezende
Keyword(s):  
Retrospective Study ◽  
Retinal Detachment ◽  
Pars Plana Vitrectomy ◽  
Silicone Oil ◽  
Endoscopic Examination ◽  
Oil Removal ◽  
Visualization System ◽  
Silicone Oil Removal ◽  
Pars Plana ◽  
The Mean

Purpose: This retrospective study recorded intraoperative findings during silicone oil removal and postoperative anatomical outcomes comparing endoscopy-assisted pars plana vitrectomy (E-PPV) vs pars plana vitrectomy (PPV) alone after proliferative vitreoretinopathy (PVR)-related retinal detachment (RD) repair. Methods: This single-center retrospective study included patients who underwent PPV for silicone oil removal after RD with PVR from July 2009 to January 2017. Patients with diabetic tractional RD, history of trauma, uveitis, or endophthalmitis were excluded. After 2013, an endoscopic visualization system (E2 MicroProbe; Endo Optiks) was used in a nonrandomized fashion. Data collection included reattachment rate, intraoperative endoscopic findings and phthisis rate. Results: Fifty-four eyes of 54 patients were included. The mean participant age was 58.4 ± 12.9 years and 36 (65.5%) participants were male. The mean (± SD) follow-up duration after oil removal was 24.3 ± 20.1 months. E-PPV combined with wide-angle visualization system was performed in 26 (48.1%) of the patients; the surgical management was modified after endoscopic examination in 17 (65.4%) of the cases. Reattachment rate in the E-PPV group was 96.2% compared with 76.0% in the PPV-alone group ( P = .04). Conclusions: E-PPV for silicone oil removal appears to be advantageous for prevention of RD recurrence, thus achieving better reattachment rates. A thorough examination is facilitated by endoscopic visualization and contributory factors for anterior PVR can be identified and treated.

TRANSCORNEAL SUTURELESS SILICONE OIL REMOVAL USING 23-GAUGE TROCAR SYSTEM IN APHAKIA

2018 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Isil Sayman Muslubas ◽  
Mumin Hocaoglu ◽  
Mehmet Giray Ersoz ◽  
Serra Arf ◽  
Murat Karacorlu
Keyword(s):  
Silicone Oil ◽  
Oil Removal ◽  
Silicone Oil Removal ◽  
23 Gauge

Trans-scleral posterior capsulorhexis in combined lens extraction and silicone oil removal

2019 ◽  
Vol 30 (1) ◽  
pp. 224-228
Author(s):  
Wael Soliman ◽  
Tarek A Mohamed ◽  
Khaled Abdelazeem ◽  
Mohamed Sharaf
Keyword(s):  
Retinal Detachment ◽  
Silicone Oil ◽  
Intraocular Lenses ◽  
Posterior Capsular Opacification ◽  
Oil Removal ◽  
Visual Axis ◽  
Yag Laser ◽  
Lens Extraction ◽  
Silicone Oil Removal

Aim: The aim of this study was to study the safety and efficacy of posterior capsulorhexis in vitrectomized eyes undergoing combined phacoemulsification or irrigation/aspiration and silicone oil removal. Methods: This prospective non-randomized interventional study involved 115 silicone-filled eyes of 115 previously vitrectomized patients. All patients underwent combined phacoemulsification or underwent irrigation/aspiration and silicone oil removal, followed by foldable intraocular lens implantation combined with primary posterior trans-scleral capsulorhexis. A 23-gauge trans-scleral vitrectomy probe was used to form the posterior capsulorhexis (vitrectorhexis). Patients were followed for 6 months. Results: Intraocular lenses maintained good centration in the capsular bag during and after trans-scleral posterior capsulorhexis. No complications were observed in the postoperative period regarding lens centration or size of the posterior capsulorhexis. No included eyes needed YAG laser posterior capsulotomy and no recurrent retinal detachment was reported during follow-up. Conclusion: Performing primary trans-scleral capsulorhexis in patients undergoing combined phacoemulsification, or irrigation/aspiration and silicone oil removal, enabled achievement of an early postoperative clear visual axis and prevented the onset of dense postoperative posterior capsular opacification in previously silicone-filled eyes. This technique is reproducible and may facilitate additional intra-operative procedures and uncomplicated postoperative follow-up of retinal detachment patients without requiring YAG laser capsulotomy.

Passive Silicone Oil Removal in 23-Gauge Transconjunctival Vitrectomy

2011 ◽  
Vol 42 (6) ◽  
pp. 514-515 ◽  
Author(s):  
Osman Çekiç ◽  
Mehmet Çakir ◽  
Ö. Faruk Yilmaz
Keyword(s):  
Silicone Oil ◽  
Oil Removal ◽  
Silicone Oil Removal ◽  
23 Gauge ◽  
Transconjunctival Vitrectomy

scholarly journals Passive Removal of Silicone Oil with Temporal Head Position through Two 23-Gauge Cannulas

2016 ◽  
Vol 2016 ◽  
pp. 1-4 ◽  
Author(s):  
Zhong Lin ◽  
Zhi Sheng Ke ◽  
Qian Zheng ◽  
Zhen Quan Zhao ◽  
Zong Ming Song
Keyword(s):  
Silicone Oil ◽  
Fast Method ◽  
Oil Removal ◽  
Slit Lamp ◽  
New Approach ◽  
The Mean ◽  
23 Gauge ◽  
Mean Time ◽  
Vitrectomy System ◽  
Air Exchange

Purpose. To report a new approach for removal of silicone oil. Methods. All surgeries were performed using 23-gauge vitrectomy system with two transconjunctival sutureless cannulas. At the beginning, most of the silicone oil was removed by traditional microinvasive vitrectomy system through inferior-temporal cannula. Then, the blood transfusion tube is removed from the inferior-temporal cannula, and the fluid-air exchange is performed. A passive fluid-air exchange was performed to aspirate the residual silicone oil after gradually turning the patient’s head temporally by approximately 90° gradually. Results. After the surgery, all patients had a clear anterior chamber and vitreous cavity on slit lamp and B scan examination, respectively. The mean time taken for silicone oil removal and total surgery was 8.0±1.4 minutes and 12.4±2.5 minutes, respectively. The mean intraocular pressure 1 day, 3 days, 1 week, 1 month, and 3 months after surgery was 9.0±5.8 mmHg, 11.3±7.6 mmHg, 16.1±6.9 mmHg, 17.7±4.8 mmHg, and 17.1±3.5 mmHg, respectively. Conclusion. This new approach may provide a safe and fast method to remove the silicone oil.

scholarly journals Active Silicone Oil Removal with a Transconjunctival Sutureless System: Is the 23-Gauge System Safe and Effective?

2016 ◽  
Vol 46 (1) ◽  
pp. 11-15 ◽  
Author(s):  
Mahmut Kaya ◽  
Ayhan Özyurt ◽  
Arif Taylan Öztürk ◽  
Duygu Er ◽  
Süleyman Kaynak ◽  
...  
Keyword(s):  
Silicone Oil ◽  
Oil Removal ◽  
Silicone Oil Removal ◽  
23 Gauge

scholarly journals The Changes of Retinal Saturation after Long-Term Tamponade with Silicone Oil

2015 ◽  
Vol 2015 ◽  
pp. 1-7 ◽  
Author(s):  
Bingsheng Lou ◽  
Zhaohui Yuan ◽  
Liwen He ◽  
Lixia Lin ◽  
Qianying Gao ◽  
...  
Keyword(s):  
Oxygen Saturation ◽  
Silicone Oil ◽  
Oxygen Metabolism ◽  
Oil Removal ◽  
Silicone Oil Removal ◽  
Retinal Arterioles ◽  
Silicone Oil Tamponade ◽  
The Mean ◽  
Arteriovenous Difference

Purpose.To evaluate the effects of long-term tamponade with silicone oil on retinal saturation.Methods.A total of 49 eyes that received tamponade with silicone oil were included. The patients were divided into 3 groups (3–6 months, 6–9 months, and >9 months) according to the duration of silicone oil tamponade. Retinal oximetry was performed using the Oxymap system before and 2 months after silicone oil removal.Results.The mean retinal oxygen saturation before silicone oil removal was 107% ± 12% in the arterioles and 60% ± 10% in the venules, with an overall arteriovenous difference (AVD) of 47% ± 14%. The AVD in the >9-month group was significantly higher than that in the 3–6-month group (54% ± 16% versus 44% ± 11%,P=0.042). After silicone oil removal, the AVD in the >9-month group was significantly decreased (45% ± 9% versus 54% ± 16%,P=0.009); additionally, the arterioles were significantly wider than before surgery (10.8 ± 0.7 pixels versus 10.4 ± 0.9 pixels,P=0.015).Conclusions.The tamponade with silicone oil for more than 9 months will cause the alterations of retinal saturation and the narrowing of retinal arterioles, which may further interfere with the oxygen metabolism in the retina.

Sign in / Sign up

Export Citation Format

Share Document