Sweeping technique for the removal of emulsified silicone oil droplets from the anterior surface of the iris using an ophthalmic absorption sponge.
Retin Cases Brief Rep
; 2023 Dec 26.
Article
em En
| MEDLINE
| ID: mdl-38147685
ABSTRACT
PURPOSE:
Silicone oil (SO) tamponade is frequently used in complex vitreoretinal surgeries, and SO migration into the anterior chamber can lead to complications such as glaucoma and corneal decompensation. A new technique is described for the efficient removal of emulsified SO droplets, which can adhere strongly to the anterior surface of the iris.METHODS:
The tip of an ophthalmic absorption sponge was cut to an approximately 1x1 mm size. Using forceps, the sponge was inserted through a 25-gauge trocar, then through a corneal paracentesis, to gently scrape the surface of the iris to dislodge the adherent SO droplets, which were subsequently aspirated.RESULTS:
This technique efficiently and effectively dislodged and mobilized most emulsified SO droplets, thereby allowing removal via aspiration using a vitrector. Two months after surgery, the retina remained attached, the intraocular pressure decreased from 18 mmHg to 15 mmHg, and there were no visible SO droplets in the anterior chamber.CONCLUSION:
The sweeping technique is a safe and efficient method to dislodge, mobilize and aspirate emulsified SO droplets that are adherent to the anterior surface of the iris, thereby decreasing the risk of future SO-related complications.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Idioma:
En
Revista:
Retin Cases Brief Rep
Ano de publicação:
2023
Tipo de documento:
Article