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Retrieving A retained Heavy Silicone Oil Bubble: Two Novel Surgical Techniques
David Cordeiro Sousa1,2,3, David C A Fabinyi1,3
1Vitreoretinal Unit, Royal Victorian Eye and Ear Hospital, East Melbourne, Australia.
Retina (Philadelphia, Pa.)
|January 5, 2022
Summary
This study presents two effective surgical methods, the light pipe and perfluorocarbon liquid techniques, for removing retained heavy silicone oil bubbles from the posterior pole, ensuring safer patient outcomes.
Area of Science:
- Ophthalmology
- Retinal Surgery
Background:
- Retained heavy silicone oil bubbles in the posterior pole pose a surgical challenge.
- Standard removal techniques may be insufficient for posteriorly located bubbles.
Purpose of the Study:
- To describe two surgical techniques for rescuing retained heavy silicone oil bubbles in the posterior pole.
- To evaluate the efficacy of the light pipe and perfluorocarbon liquid methods.
Main Methods:
- Detailed description of the light pipe method using a 25-gauge cannula and suction.
- Detailed description of the perfluorocarbon liquid method using a 25-gauge cannula and suction.
- Illustrative videos accompany the description of each surgical technique.
Main Results:
- Both the light pipe and perfluorocarbon liquid methods are practical and effective for heavy silicone oil removal.
- These techniques successfully address silicone oil bubbles that sink to the posterior pole.
- Standard heavy silicone oil removal utilizes a 25-gauge metallic cannula and active suction pump.
Conclusions:
- The light pipe and perfluorocarbon methods are suitable for removing retained heavy silicone oil.
- These techniques avoid the need for additional incisions.
- They mitigate the risks associated with larger gauge instrumentation.
