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去除高密度硅油(Oxane HD)的手术技术。

Surgical technique for removal of high-density silicone oil (Oxane HD).

作者信息

De Oliveira Ramon Antunes, De Moraes Nilva Simeren Bueno, Fernandes Rodrigo Antonio Brant, Magalhães Octaviano, Maia Mauricio

机构信息

Department of Ophthalmology, Universidade Federal de São Paulo (UNIFESP/EPM), São Paulo, Brazil.

Hospital de Olhos Oeste Paulista, Assis, Brazil.

出版信息

Int J Retina Vitreous. 2023 Oct 23;9(1):64. doi: 10.1186/s40942-023-00501-9.

DOI:10.1186/s40942-023-00501-9
PMID:37872580
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10591402/
Abstract

The main drawback for the use of heavy silicone oil (HSO) Oxane HD is the difficulties it presents during removal. It differs from conventional silicone oil removal because it progressively concentrates in the posterior pole during the removal because of its heavier than water density. We describe a technique to facilitate proper HSO Oxane HD removal and minimize residual posterior bubbles and intraoperative complications. We describe our pearls for removing HSO to obtain the optimal results. A concern associated with HSO is the difficulty it presents when it is removed. However, this can be overcome by appropriate modification of surgical techniques during removal to limit intraoperative complications.

摘要

使用重硅油(HSO)Oxane HD的主要缺点是其在取出过程中存在困难。它与传统硅油取出不同,由于其密度比水大,在取出过程中会逐渐在后极部浓缩。我们描述了一种有助于正确取出HSO Oxane HD并将残留后房气泡和术中并发症降至最低的技术。我们介绍了取出HSO以获得最佳效果的技巧。与HSO相关的一个问题是取出时存在困难。然而,这可以通过在取出过程中适当修改手术技术来克服,以限制术中并发症。

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Curr Ophthalmol Rep. 2020 Sep;8(3):144-151. doi: 10.1007/s40135-020-00247-9. Epub 2020 Jul 4.
2
A case of silicone oil adhered to the retinal surface via perfluorocarbon liquid.1例硅油经全氟碳液体附着于视网膜表面。
BMC Ophthalmol. 2018 Mar 27;18(1):82. doi: 10.1186/s12886-018-0745-y.
3
[Heavy silicone oil (Densiron® 68) in proliferative vitreoretinopathy: 4 years of experience].[重度硅油(Densiron® 68)在增生性玻璃体视网膜病变中的应用:4年经验]
Arch Soc Esp Oftalmol. 2013 Nov;88(11):445-9. doi: 10.1016/j.oftal.2012.12.011. Epub 2013 Apr 3.
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A novel technique for high-density silicone oil removal.
Retina. 2012 Sep;32(8):1672-3. doi: 10.1097/IAE.0b013e31826b678d.
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Interaction between perfluorcarbon liquid and heavy silicone oil: risk factor for "sticky oil" formation.全氟碳液体与重硅油的相互作用:“粘性油”形成的危险因素。
Curr Eye Res. 2012 Jul;37(7):563-6. doi: 10.3109/02713683.2012.669511. Epub 2012 May 11.
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Retina. 2011 Oct;31(9):1961-2. doi: 10.1097/IAE.0b013e31822de57d.
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Optom Vis Sci. 2011 Jun;88(6):772-5. doi: 10.1097/OPX.0b013e318216d345.
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Primary heavy silicone oil usage in inferior rhegmatogenous retinal detachment.下方孔源性视网膜脱离中初次使用重硅油。
Ophthalmologica. 2010;224(2):122-5. doi: 10.1159/000235926. Epub 2009 Sep 2.
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