Removal of Silicon Oil from the Vitreous Cavity via the Anterior Chamber. Eight Years of the Author’s Experiences

##plugins.themes.bootstrap3.article.main##

  •   Adam Cywinski

Abstract

Purpose: To evaluate usefulness and safety of removal of silicone oil from the vitreous cavity via the anterior chamber.


Methods: The procedures were performed between 2012 and 2020 in 31 patients who required endotamponade with the use of light silicone oils. In most of the patients, the procedure was combined with cataract removal, secondary lens implantation or transscleral fixation of an artificial lens. A passive bimanual technique was used to replace silicone oil with fluid.


Results: The procedure to remove silicon oil via the anterior chamber proceeded without serious intra- and postoperative complications. There were no hypotony observed in first postoperative day.


Conclusion: Patients eligible for the procedure are those who have preoperative indications for silicone oil removal and whose removal path via the anterior chamber is not associated with a special need to remove the lens from the eye.


Keywords: silicon oil removal, posterior vitrectomy, cataract, secondary lens implantation, hypotony, aphakia

References

Barca F, Caporossi T, Rizzo S. Silicone oil: different physical proprieties and clinical applications. Biomed Res Int.

Prazeres J, Magalhães O Jr, Lucatto LF, Navarro RM, Moraes NS, Farah ME, Maia A, Maia M. Heavy silicone oil as a long-term endotamponade agent for complicated retinal detachments. Biomed Res Int.

Caporossi T, Franco F, Finocchio L, et al. Densiron 68 heavy silicone oil in the management of inferior retinal detachment recurrence: analysis on functional and anatomical outcomes and complications. Int J Ophthalmol. 2019;12(4):615-620.

Kaya M, Özyurt A, Öztürk AT, Er D, Kaynak S, Koçak N. Active Silicone Oil Removal with a Transconjunctival Sutureless System: Is the 23-Gauge System Safe and Effective? Turk J Ophthalmol. 2016;46(1):11-15.

Siyal NA, Hargun LD, Wahab S. Passive removal of silicone oil through 23gauge transconjunctival sutureless vitrectomy system. Pak J Med Sci. 2016;32(3):652-656.

Xu W, Cheng W, Zhuang H, Guo J, Xu G. Safety and efficacy of transpupillary silicone oil removal in combination with micro-incision phacoemulsification cataract surgery: comparison with 23-gauge approach. BMC Ophthalmol. 2018 Aug 15;18(1):200.

Miller JB, Papakostas TD, Vavvas DG. Complications of emulsified silicone oil after retinal detachment repair. Semin Ophthalmol. 2014 Sep-Nov;29(5-6):312-8.

Cywinski A. Sutureless intrascleral fixation of the Carlevale (Soleko) intraocular lens in the correction of aphakia. Own experience. Cywinski A. European Journal of Medical and Health Sciences, 2(4).

Cywinski A, Bednarski L. A Treatment of Refractory Glaucoma in Pseudophakic Patients after Posterior Vitrectomy using the Ahmed Valve in an Own Modification. International Journal of Research Studies in Medical and Health Sciences. Volume 4, Issue 6, 2019.

Zhang X, Chen B, Yang H, Song Y, Zhang D, Soetikno BT, Sun X. The Correlation of Pars Plana Incision and Transient Hypotony After Silicone Oil Removal. Ophthalmic Surg Lasers Imaging Retina. 2018 Sep 1;49(9) e44-e51.

Kim SW, Oh J, Yang KS, Kim MJ, Rhim JW, Huh K. Risk factors for the development of transient hypotony after silicone oil removal. Retina. 2010 Sep;30(8):1228-36.

Byeon SH, Lew YJ, Kim M, Kwon OW. Wound leakage and hypotony after 25-gauge sutureless vitrectomy: factors affecting postoperative intraocular pressure. Ophthalmic Surg Lasers Imaging. 2008 Mar-Apr;39(2):94.

Downloads

Download data is not yet available.

##plugins.themes.bootstrap3.article.details##

How to Cite
Cywinski, A. (2021). Removal of Silicon Oil from the Vitreous Cavity via the Anterior Chamber. Eight Years of the Author’s Experiences. European Journal of Medical and Health Science, 3(2), 107-110. https://doi.org/10.24018/ejmed.2021.3.2.774