Cherkas Elliot, Sivalingam Meera D, Klufas Timothy, Klufas Michael A
Sidney Kimmel Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania.
Wills Eye Hospital, Mid Atlantic Retina, Thomas Jefferson University, Philadelphia, Pennsylvania.
Retina. 2023 Dec 1;43(12):2170-2172. doi: 10.1097/IAE.0000000000003722.
BACKGROUND/PURPOSE: To describe several modified approaches to remove retained silicone oil droplets on intraocular lens (IOLs).
Four novel techniques for removing retained silicone oil droplets on IOLs were described.
All four techniques led to an improved IOL with a good view to the posterior segment. No intraoperative or long-term postoperative complications have been seen in any of these eyes. These modified approaches are safe, efficient, low cost, and use existing vitreoretinal operating room supplies to add to the vitreoretinal surgeon's armamentarium to clear retained IOL silicone droplets.
It is advocated for having multiple techniques at the disposal of the vitreoretinal surgeon to address retained silicone oil on IOLs. Being able to use multiple techniques may not be superior than a single approach but is often necessary to accomplish the surgical goal of removing these adherent droplets.
背景/目的：描述几种用于清除人工晶状体（IOL）上残留硅油滴的改良方法。
描述了四种清除IOL上残留硅油滴的新技术。
所有四种技术均使IOL得到改善，后节视野良好。这些眼中均未观察到术中或长期术后并发症。这些改良方法安全、有效、成本低，且使用现有的玻璃体视网膜手术室耗材，为玻璃体视网膜外科医生清除IOL上残留的硅油滴增添了手段。
提倡玻璃体视网膜外科医生掌握多种技术来处理IOL上残留的硅油。能够使用多种技术可能并不比单一方法更优越，但通常对于实现清除这些附着滴的手术目标是必要的。
