Anterior Chamber Silicone Oil Removal With an Air-Infusion System and a Silicone Oil Extractor:

Published on Dec 1, 2017in Retina-the Journal of Retinal and Vitreous Diseases3.649
· DOI :10.1097/IAE.0000000000001596
Myung Shin Lee1
Estimated H-index: 1
(Kosin University),
Seung Uk Lee6
Estimated H-index: 6
(Kosin University)
+ 1 AuthorsKi Yup Nam10
Estimated H-index: 10
(Kosin University)
#1Stephen J. Vincent (QUT: Queensland University of Technology)H-Index: 24
#2Roslyn A. Vincent (QUT: Queensland University of Technology)H-Index: 2
Last. Graham A. Lee (QUT: Queensland University of Technology)H-Index: 21
view all 4 authors...
A 60-year-old man experienced a marked unilateral myopic shift of 20 diopters following attempted removal of intravitreal heavy silicone oil used in the treatment of inferior proliferative vitreoretinopathy following retinal detachment. Examination revealed heavy silicone oil adherent to the corneal endothelium and forming a convex interface with the aqueous, obscuring the entire pupil. Surgical intervention was required to restore visual acuity. The case highlights the potential ocular complica...
2 CitationsSource
#1Donald L. Budenz (UM: University of Miami)H-Index: 59
#2Katia E Taba (UM: University of Miami)H-Index: 1
Last. Harry W. Flynn (UM: University of Miami)H-Index: 98
view all 7 authors...
Abstract Objective To evaluate the outcomes of surgical intervention for secondary glaucoma after pars plana vitrectomy and silicone oil injection for repair of complex retinal detachment. Design Retrospective noncomparative interventional case series. Participants Forty-three eyes of 43 patients who underwent incisional surgery for secondary glaucoma after pars plana vitrectomy and silicone oil injection for repair of complex retinal detachment over a 9-year period. Main outcome measures Intrao...
76 CitationsSource
#1James Valone (EVMS: Eastern Virginia Medical School)H-Index: 4
#2Mark McCarthy (EVMS: Eastern Virginia Medical School)H-Index: 1
Purpose: This retrospective study was undertaken to assess the occurrence of postoperative anterior chamber emulsified silicone oil after intravitreal instillation and to examine the relation between such emulsification and new postoperative glaucoma. Methods: Forty-eight consecutive eyes received intravitreal silicone oil, were followed for at least 1 year, and were evaluated postoperatively by gonioscopy on at least one occasion. Eight eyes received 1000 cs oil, and 40 eyes received 5000 cs oi...
60 CitationsSource
#1Rulong Gao (LMU: Ludwig Maximilian University of Munich)H-Index: 1
#2Lorenz Neubauer (LMU: Ludwig Maximilian University of Munich)H-Index: 3
Last. Anselm KampikH-Index: 73
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A total of 42 cases (42 eyes) with silicone oil in the anterior chamber after pars plana vitrectomy (PPV) and after silicone oil injection into the vitreous cavity (SIV) were analyzed. The main complications caused by silicone oil were corneal endothelial cell damage and secondary glaucoma. Specular microscop6y showed decreased cell density, apparent pleomorphism of endothelieal cells, and increased corneal thickness. In some cases, edematous and necrotic endothelial cells were found. The charac...
21 CitationsSource
#1A G Casswell (Moorfields Eye Hospital)H-Index: 3
#2Z J GregorH-Index: 1
The results of a retrospective study of the effects of silicone oil removal from 85 eyes in 85 patients are reported. Pars plana vitrectomy and fluid/silicone oil exchange had been undertaken for retinal detachments associated with giant retinal tears or with proliferative vitreoretinopathy in all cases. Clinically significant cataract developed in 60% of lenses that were clear at the time of oil removal, and 85% of pre-existing lens opacities progressed. Removal of oil from 19 eyes with uncontr...
102 CitationsSource
#1A G Casswell (Moorfields Eye Hospital)H-Index: 3
#2Z J GregorH-Index: 1
A retrospective study of the effects of silicone oil removal was carried out on 85 patients who had undergone pars plana vitrectomy and silicone oil exchange for giant retinal tears or proliferative vitreoretinopathy. Silicone oil was removed either as part of the treatment of anterior segment complications such as glaucoma and keratopathy (25 patients) or in order to prevent these complications (60 patients). The major complications of the removal of silicone oil were retinal redetachment (25%)...
112 CitationsSource
#1Graham R. Kirkby (Moorfields Eye Hospital)H-Index: 7
#2Zdenek J. GregorH-Index: 38
• The appearance of large silicone oil globules in the anterior chamber of phakic eyes leads to serious intraoperative and postoperative problems. Using hyaluronate sodium, the silicone can be safely removed from the anterior chamber, the crystalline lens may be saved, and the posterior segment procedure can be completed.
5 CitationsSource
#1Paul Sternberg (Duke University)H-Index: 67
#2Diane L. Hatchell (Duke University)H-Index: 30
Last. Maurice B. LandersH-Index: 27
view all 4 authors...
• Intraocular silicone oil tamponade is being used with increasing frequency as an adjunct to conventional vitrectomy techniques in the treatment of proliferative vitreoretinopathy. When used in patients with aphakia, corneal decompensation is a common long-term complication. In this study, we evaluated the clinical and morphologic changes that occurred in the corneas of 14 rabbits and seven cats when the anterior chamber was filled with silicone oil. Within six days, wide-field specular microsc...
88 CitationsSource
#1P K LeaverH-Index: 2
#2R H GreyH-Index: 2
Last. A GarnerH-Index: 2
view all 3 authors...
Long-term assessment of eyes in which silicone oil injection had been used in the treatment of retinal detachment with massive preretinal retraction was undertaken in 92 consecutive patients. While a high incidence of complications, particularly cataract, was confirmed, this study showed that they were probably caused not by any toxic effect of silicone oil but by obstruction of normal metabolic exchange at the silicone-tissue interface. The incidence of complications causing deterioration of vi...
207 CitationsSource
#1Paul A. CibisH-Index: 15
#2Bernard BeckerH-Index: 72
Last. Samuel CanaanH-Index: 1
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Introduction Silicone rubber has been widely used as implant material in plastic surgery and in retinal detachment procedures. 1 Liquid silicone was first injected into the vitreous cavity of rabbits by Stone, 2 who reported that silicone fluids of various viscosities were well tolerated and produced "very little change in the rabbit eyes over a period of two years." He went on to predict that it might be possible to find a "viscosity" that would maintain the "clarity" of the vitreous and help i...
371 CitationsSource
Cited By1
#1Ahmad M. Mansour (AUB: American University of Beirut)H-Index: 33
#2J. Fernando Arevalo (Johns Hopkins University)H-Index: 10
Last. J. Fernando Arevalo (Johns Hopkins University)H-Index: 49
view all 2 authors...