Sousa David Cordeiro, Fabinyi David C A
Vitreoretinal Unit, Royal Victorian Eye and Ear Hospital, East Melbourne, Australia.
Vision Sciences Study Centre, Faculdade de Medicina, Universidade de Lisboa, Lisboa, Portugal; and.
Retina. 2023 Dec 1;43(12):2101-2103. doi: 10.1097/IAE.0000000000003399.
To describe two surgical techniques for rescuing a retained heavy silicone oil bubble in the posterior pole: 1) light pipe method and 2) perfluorocarbon liquid method.
The surgical techniques are described in detail, along with an illustrative video for each.
A short 25-gauge metallic cannula and active suction pump are used for standard heavy silicone oil removal. Both surgical approaches are practical and effective options to complete the removal of heavy silicone oil when a bubble sinks to the posterior pole.
Both the light pipe and perfluorocarbon methods are suitable to remove retained heavy silicone oil and thus avoid the need for further incisions and the risks associated with the use of larger gauge instrumentation.
描述两种用于挽救后极部残留重硅油泡的手术技术:1)光导纤维法和2)全氟碳液法。
详细描述手术技术,并为每种技术提供演示视频。
标准的重硅油清除使用短的25G金属套管和主动吸引泵。当硅油泡下沉至后极部时,这两种手术方法都是完成重硅油清除的实用且有效的选择。
光导纤维法和全氟碳液法均适用于清除残留的重硅油,从而避免进一步切开以及使用较大规格器械相关的风险。