Active silicone oil removal with 23 gauge transconjunctival system; ‘’Doganay silicone oil extraction system’’

Active silicone oil removal with 23 gauge transconjunctival system; ‘’Doganay silicone oil extraction system’’

Aim: To describe a new and simple silicone oil removal method with 23-gauge (G) transconjunctival vitrectomy system.Material and Methods: This is a prospective, single center, interventional clinical trial. A hundred thirty-three eyes of 133 patientswere enrolled in this study. 1000 centistoke (cSt) silicone oil was removed with our new method. Main outcome measurements weresilicone oil removal time, number of sutured 23 G sclerotomy sites, intraoperative and postoperative complications, preoperative andpostoperative intraocular pressure (IOP) alterations, and preoperative and postoperative visual acuity changes.Results: The mean time between pars plana vitrectomy surgery with silicone oil endotamponade and silicone oil removal was 8.5±3.5months. Mean silicone oil removal time was 141.7±37.7 seconds. 210 of total 293 sclerotomies sites required suture. A statisticallysignificant decrease in postoperative IOP was found only on day 1 (p

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  • 1. Cibis BA, Okun E, Canaan S. The use of liquid silicone in retinal detachment surgery. Arch Ophthalmol 1962;68:590-9.
  • 2. Abrams GW, Azen SP, Barr CC, et al. The incidence of corneal abnormalities in the Silicone Study. Silicone Study Report 7. Arch Ophthalmol 1995;113:764-9.
  • 3. Gallemore RP, McCuen BW. Silicone oil in vitreoretinal surgery. In: Ryan SJ, Wilkinson CP, eds. Retina. 4th edition, Philadelphia, PA: Elsevier Mosby 2006;2226-9.
  • 4. Barr CC, Lai MY, Lean JS, et al. Postoperative intraocular pressure abnormalities in the Silicone Study. Silicone Study Report 4. Ophthalmology 1993;100:1629-35.
  • 5. Stemberg P Jr, Hatchell DL, Foulks GN, et al. The effect of silicone oil on the cornea. Arch Ophthalmol 1985;103:90-4.
  • 6. Eckardt C. Transconjunctival sutureless 23-gauge vitrectomy. Retina 2005;25:208-11.
  • 7. Oshima Y, Wakabayashi T, Sato T, et al. A 27-gauge instrument system for transconjunctival sutureless microincision vitrectomy surgery. Ophthalmology 2010;117:93-102.
  • 8. Song ZM, Chen D, Ke ZS, et al. A new approach for active removal of 5,000 centistokes silicone oil through 23-gauge cannula. Retina 2010;30:1302-7.
  • 9. Kapran Z, Acar N. Active removal of silicone oil with 25-gauge sutureless system. Retina 2007;27:1133-5.
  • 10. Kapran Z, Acar N. Removal of silicone oil with 25-gauge transconjunctival sutureless vitrectomy system. Retina 2007;27:1059-64.
  • 11. Patwardhan SD, Azad R, Shah V, et al. The safety and efficacy of passive removal of silicone oil with 23-gauge transconjunctival sutureless system. Retina 2010;30:1237- 41.
  • 12. Fujii GY, De Juan E Jr, Sunness J, et al. A new 25-gauge instrument system for tranconjunctival sutureless vitrectomy surgery. Ophthalmology 2002;109:1814-20.
  • 13. Wadhwa N, Garg S. Proposal and evaluation of sutureless, no port technique of silicone oil removal in aphakia. Retina 2007;27:978-81.
  • 14. Yildirim R, Aras C, Ozdamar A, et al. Silicone oil removal using a self-sealing corneal incision under topical anesthesia. Ophthalmic Surg Lasers Imaging 1999;30:24-6.
  • 15. Qin B, Zhao T, Huang L. Removal of silicone oil from aphakia: use of a self sealing corneal incision. Am J Ophthalmol 2004;138:1055-57.
  • 16. Frau E, Lautier-Frau M, Labetoulle M, et al. Phacoemulsification combined with silicone oil removal trough the posterior capsulorhexis tear. Retina 2002;22:158-62.
  • 17. Krepler K, Mozaffarieh M, Biowski R, et al. Cataract surgery and silicone oil removal: visual outcome and complicationsin a combined vs. two-step surgical approach. Retina 2003;23:647-53.
  • 18. Romano MR, Groenwald RD, Das R, et al. Removal of Densiron-68 with a 23-gauge transconjunctival vitrectomy system. Eye 2009;23:715-7.
  • 19. O’Reilly P, Beatty S. Transconjunctival sutureless vitrectomy:initial experience and surgical tips. Eye 2007;21:518-21.
  • 20. Hwang J, Yoon YH, Kim D, et al. Combined phacoemulsification, foldable intraocular lens implantation, and 25 gauge transconjunctival sutureless vitrectomy. J Cataract Refract Surg 2006;32:727-31.
  • 21. Arevalo JF, Garcia RA, Fernandez CF. Anterior segment inflammation and hypotony after posterior segment surgery. Ophthalmol Clin North Am 2004;17:527-37.
Annals of Medical Research-Cover
  • Yayın Aralığı: Aylık
  • Yayıncı: İnönü Üniversitesi Tıp Fakültesi