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

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...

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Main Authors: Zhong Lin, Zhi Sheng Ke, Qian Zheng, Zhen Quan Zhao, Zong Ming Song
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Journal of Ophthalmology
Online Access:http://dx.doi.org/10.1155/2016/4182693
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author Zhong Lin
Zhi Sheng Ke
Qian Zheng
Zhen Quan Zhao
Zong Ming Song
author_facet Zhong Lin
Zhi Sheng Ke
Qian Zheng
Zhen Quan Zhao
Zong Ming Song
author_sort Zhong Lin
collection DOAJ
description 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.
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issn 2090-004X
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publishDate 2016-01-01
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series Journal of Ophthalmology
spelling doaj-art-31784e646c4f40c688b682d1eb42e70f2025-08-20T03:55:01ZengWileyJournal of Ophthalmology2090-004X2090-00582016-01-01201610.1155/2016/41826934182693Passive Removal of Silicone Oil with Temporal Head Position through Two 23-Gauge CannulasZhong Lin0Zhi Sheng Ke1Qian Zheng2Zhen Quan Zhao3Zong Ming Song4The Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang 325027, ChinaThe Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang 325027, ChinaThe Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang 325027, ChinaThe Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang 325027, ChinaThe Eye Hospital, School of Ophthalmology and Optometry, Wenzhou Medical University, Wenzhou, Zhejiang 325027, ChinaPurpose. 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.http://dx.doi.org/10.1155/2016/4182693
spellingShingle Zhong Lin
Zhi Sheng Ke
Qian Zheng
Zhen Quan Zhao
Zong Ming Song
Passive Removal of Silicone Oil with Temporal Head Position through Two 23-Gauge Cannulas
Journal of Ophthalmology
title Passive Removal of Silicone Oil with Temporal Head Position through Two 23-Gauge Cannulas
title_full Passive Removal of Silicone Oil with Temporal Head Position through Two 23-Gauge Cannulas
title_fullStr Passive Removal of Silicone Oil with Temporal Head Position through Two 23-Gauge Cannulas
title_full_unstemmed Passive Removal of Silicone Oil with Temporal Head Position through Two 23-Gauge Cannulas
title_short Passive Removal of Silicone Oil with Temporal Head Position through Two 23-Gauge Cannulas
title_sort passive removal of silicone oil with temporal head position through two 23 gauge cannulas
url http://dx.doi.org/10.1155/2016/4182693
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AT qianzheng passiveremovalofsiliconeoilwithtemporalheadpositionthroughtwo23gaugecannulas
AT zhenquanzhao passiveremovalofsiliconeoilwithtemporalheadpositionthroughtwo23gaugecannulas
AT zongmingsong passiveremovalofsiliconeoilwithtemporalheadpositionthroughtwo23gaugecannulas