Silicone Oil Removal With or Without Air–Fluid Exchange: A Retrospective Comparative Study
Abstract Introduction To evaluate whether the air−fluid (A−F) exchange procedure should be recommended for silicone oil (SO) removal surgery. Methods Consecutive patients that underwent SO removal with or without A−F exchange were requested to complete a questionnaire regarding the presence of float...
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Adis, Springer Healthcare
2025-07-01
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| Series: | Ophthalmology and Therapy |
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| Online Access: | https://doi.org/10.1007/s40123-025-01193-0 |
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| author | Xin Liu Meng-Meng Ji Ling Jin Ai-Ping Zeng |
| author_facet | Xin Liu Meng-Meng Ji Ling Jin Ai-Ping Zeng |
| author_sort | Xin Liu |
| collection | DOAJ |
| description | Abstract Introduction To evaluate whether the air−fluid (A−F) exchange procedure should be recommended for silicone oil (SO) removal surgery. Methods Consecutive patients that underwent SO removal with or without A−F exchange were requested to complete a questionnaire regarding the presence of floaters and SO residual scores. The medical records of the patients who completed the questionnaire were also reviewed retrospectively for clinical data including best corrected visual acuity, postoperative detachment rate, and intraocular pressure, etc. Results A total of 124 cases were included, 68 in the A−F (+) group and 56 in the A−F (−). Both groups were similar in demographic data such as age, sex distribution, axial length, and duration of SO tamponade (all P > 0.05). During the process of A−F exchange, a layer of oil film residue can be observed under the microscope, and A−F exchange can remove the residual SO. The ratio of with/without floating in the A−F (−) versus A−F (+) group was 48/8 versus 36/32 (P < 0.01). In addition, the questionnaire survey on the SO residual scores showed a more significant difference in the impact on postoperative visual quality between the two groups. Conclusions A−F exchange can effectively reduce residual SO and is recommended as a routine procedure for SO removal surgery. |
| format | Article |
| id | doaj-art-7ae2870a8ff04cc0bbbea6301328adda |
| institution | DOAJ |
| issn | 2193-8245 2193-6528 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Adis, Springer Healthcare |
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| series | Ophthalmology and Therapy |
| spelling | doaj-art-7ae2870a8ff04cc0bbbea6301328adda2025-08-20T03:04:35ZengAdis, Springer HealthcareOphthalmology and Therapy2193-82452193-65282025-07-011482021202910.1007/s40123-025-01193-0Silicone Oil Removal With or Without Air–Fluid Exchange: A Retrospective Comparative StudyXin Liu0Meng-Meng Ji1Ling Jin2Ai-Ping Zeng3Department of Ophthalmology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Ophthalmology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Ophthalmology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyDepartment of Ophthalmology, Union Hospital, Tongji Medical College, Huazhong University of Science and TechnologyAbstract Introduction To evaluate whether the air−fluid (A−F) exchange procedure should be recommended for silicone oil (SO) removal surgery. Methods Consecutive patients that underwent SO removal with or without A−F exchange were requested to complete a questionnaire regarding the presence of floaters and SO residual scores. The medical records of the patients who completed the questionnaire were also reviewed retrospectively for clinical data including best corrected visual acuity, postoperative detachment rate, and intraocular pressure, etc. Results A total of 124 cases were included, 68 in the A−F (+) group and 56 in the A−F (−). Both groups were similar in demographic data such as age, sex distribution, axial length, and duration of SO tamponade (all P > 0.05). During the process of A−F exchange, a layer of oil film residue can be observed under the microscope, and A−F exchange can remove the residual SO. The ratio of with/without floating in the A−F (−) versus A−F (+) group was 48/8 versus 36/32 (P < 0.01). In addition, the questionnaire survey on the SO residual scores showed a more significant difference in the impact on postoperative visual quality between the two groups. Conclusions A−F exchange can effectively reduce residual SO and is recommended as a routine procedure for SO removal surgery.https://doi.org/10.1007/s40123-025-01193-0Silicone oil removalAir–fluid exchangeVitrectomySilicone oil residualFloater |
| spellingShingle | Xin Liu Meng-Meng Ji Ling Jin Ai-Ping Zeng Silicone Oil Removal With or Without Air–Fluid Exchange: A Retrospective Comparative Study Ophthalmology and Therapy Silicone oil removal Air–fluid exchange Vitrectomy Silicone oil residual Floater |
| title | Silicone Oil Removal With or Without Air–Fluid Exchange: A Retrospective Comparative Study |
| title_full | Silicone Oil Removal With or Without Air–Fluid Exchange: A Retrospective Comparative Study |
| title_fullStr | Silicone Oil Removal With or Without Air–Fluid Exchange: A Retrospective Comparative Study |
| title_full_unstemmed | Silicone Oil Removal With or Without Air–Fluid Exchange: A Retrospective Comparative Study |
| title_short | Silicone Oil Removal With or Without Air–Fluid Exchange: A Retrospective Comparative Study |
| title_sort | silicone oil removal with or without air fluid exchange a retrospective comparative study |
| topic | Silicone oil removal Air–fluid exchange Vitrectomy Silicone oil residual Floater |
| url | https://doi.org/10.1007/s40123-025-01193-0 |
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