New technique for removal of perfluorocarbon liquid related sticky silicone oil and literature review

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 technique. METHODS: This retrospective consecutive case series reviewed the records of patients with a history of retinal detachment...

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Autores principales:	Hai-Shuang Lin, Yong-Ping Tang, Lu Zhang, En-Ze Liu, Ling-Ying Ye, Ming-Na Xu, Rong-Han Wu, Zhi-Xiang Hu
Formato:	article
Lenguaje:	EN
Publicado:	Press of International Journal of Ophthalmology (IJO PRESS) 2021
Materias:	sticky silicone oil perfluorocarbon liquid silicone oil removal inner limiting membrane peel in vitro analysis Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/2b4b23722bc94bb48617ad63dd4646d2
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spelling	oai:doaj.org-article:2b4b23722bc94bb48617ad63dd4646d22021-11-26T04:02:12ZNew technique for removal of perfluorocarbon liquid related sticky silicone oil and literature review2222-39592227-489810.18240/ijo.2021.12.14https://doaj.org/article/2b4b23722bc94bb48617ad63dd4646d22021-12-01T00:00:00Zhttp://ies.ijo.cn/en_publish/2021/12/20211214.pdfhttps://doaj.org/toc/2222-3959https://doaj.org/toc/2227-4898AIM: 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 technique. METHODS: 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 tamponades. Patients were included in the analysis if they exhibited SSO remnants during silicone oil removal. The aspiration of most of the SSO remnants was performed by a 22-gauge vein detained needle. The small amounts of droplets adhered to the macula and epi-macular membrane were subsequently removed by the ILM warp-and-peel technique. The anatomical and functional outcomes, and postoperative complications were recorded. In vitro experiments were performed to simulate the formation of SSO remnants in four groups. RESULTS: Of 711 patients who underwent silicone oil removal during the study period, 9 patients exhibited SSO remnants and underwent follow-up for at least 3mo. Seven 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 membrane. No obvious complications occurred. Postoperative optical coherence tomography revealed normal retinal structure in all patients. In vitro analyses showed that balanced salt solution and prolonged vibration (for 1wk) had the strongest effects on silicone oil and PFCL compound opacities. CONCLUSION: SSO remnants could be removed in an intact manner and without complications, using a vein detained needle-assisted and ILM wrap-and-peel technique. The findings suggest that PFCL and infusion fluid should be completely removed before silicone oil injection to prevent SSO formation.Hai-Shuang LinYong-Ping TangLu ZhangEn-Ze LiuLing-Ying YeMing-Na XuRong-Han WuZhi-Xiang HuPress of International Journal of Ophthalmology (IJO PRESS)articlesticky silicone oilperfluorocarbon liquidsilicone oil removalinner limiting membrane peelin vitro analysisOphthalmologyRE1-994ENInternational Journal of Ophthalmology, Vol 14, Iss 12, Pp 1903-1908 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	sticky silicone oil perfluorocarbon liquid silicone oil removal inner limiting membrane peel in vitro analysis Ophthalmology RE1-994
spellingShingle	sticky silicone oil perfluorocarbon liquid silicone oil removal inner limiting membrane peel in vitro analysis Ophthalmology RE1-994 Hai-Shuang Lin Yong-Ping Tang Lu Zhang En-Ze Liu Ling-Ying Ye Ming-Na Xu Rong-Han Wu Zhi-Xiang Hu New technique for removal of perfluorocarbon liquid related sticky silicone oil and literature review
description	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 technique. METHODS: 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 tamponades. Patients were included in the analysis if they exhibited SSO remnants during silicone oil removal. The aspiration of most of the SSO remnants was performed by a 22-gauge vein detained needle. The small amounts of droplets adhered to the macula and epi-macular membrane were subsequently removed by the ILM warp-and-peel technique. The anatomical and functional outcomes, and postoperative complications were recorded. In vitro experiments were performed to simulate the formation of SSO remnants in four groups. RESULTS: Of 711 patients who underwent silicone oil removal during the study period, 9 patients exhibited SSO remnants and underwent follow-up for at least 3mo. Seven 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 membrane. No obvious complications occurred. Postoperative optical coherence tomography revealed normal retinal structure in all patients. In vitro analyses showed that balanced salt solution and prolonged vibration (for 1wk) had the strongest effects on silicone oil and PFCL compound opacities. CONCLUSION: SSO remnants could be removed in an intact manner and without complications, using a vein detained needle-assisted and ILM wrap-and-peel technique. The findings suggest that PFCL and infusion fluid should be completely removed before silicone oil injection to prevent SSO formation.
format	article
author	Hai-Shuang Lin Yong-Ping Tang Lu Zhang En-Ze Liu Ling-Ying Ye Ming-Na Xu Rong-Han Wu Zhi-Xiang Hu
author_facet	Hai-Shuang Lin Yong-Ping Tang Lu Zhang En-Ze Liu Ling-Ying Ye Ming-Na Xu Rong-Han Wu Zhi-Xiang Hu
author_sort	Hai-Shuang Lin
title	New technique for removal of perfluorocarbon liquid related sticky silicone oil and literature review
title_short	New technique for removal of perfluorocarbon liquid related sticky silicone oil and literature review
title_full	New technique for removal of perfluorocarbon liquid related sticky silicone oil and literature review
title_fullStr	New technique for removal of perfluorocarbon liquid related sticky silicone oil and literature review
title_full_unstemmed	New technique for removal of perfluorocarbon liquid related sticky silicone oil and literature review
title_sort	new technique for removal of perfluorocarbon liquid related sticky silicone oil and literature review
publisher	Press of International Journal of Ophthalmology (IJO PRESS)
publishDate	2021
url	https://doaj.org/article/2b4b23722bc94bb48617ad63dd4646d2
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New technique for removal of perfluorocarbon liquid related sticky silicone oil and literature review

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