File Download

There are no files associated with this item.

  Links for fulltext
     (May Require Subscription)
Supplementary

Article: The use of continuous silicone oil infusion as a peroperative tool to facilitate break localisation, vitreous base dissection and drainage of subretinal fluid

TitleThe use of continuous silicone oil infusion as a peroperative tool to facilitate break localisation, vitreous base dissection and drainage of subretinal fluid
Authors
KeywordsRetinal break
Silicone oil infusion
Subretinal fluid drainage
Vitreous base shaving
Issue Date2011
PublisherS Karger AG. The Journal's web site is located at http://www.karger.com/OPH
Citation
Ophthalmologica, 2011, v. 226 SUPPL. 1, p. 53-57 How to Cite?
AbstractIntroduction: We introduce the use of low-molecular-weight silicone oil as an infusion and as a peroperative tool to facilitate three specific surgical steps, namely internal search for retinal breaks, vitreous base shaving and drainage of subretinal fluid. Method and Patients: Ethics committee approval was obtained to test this novel agent in a small number of cases as a pilot study. Following vitrectomy the posterior retina was reattached and stabilised using perfluorocarbon liquid (PFCL). The infusion of balanced salt solution was then stopped and replaced with 5 mPas silicone oil. Subsequent surgery was assessed as to whether the infusion was helpful in the three surgical steps. Five cases were selected for this pilot study. Three presented with long-standing rhegmatogenous retinal detachment (RRD) of 2 or more months: 1 had dense vitreous haemorrhage and no fundal view at presentation; 2 had proliferative vitreoretinopathy. Of the remaining 2 cases, 1 had a giant retinal break and the other case had a combined diabetic tractional retinal detachment and RRD. Results: Additional retinal breaks were found in 2 patients. The silicone oil joined with the PFCL to form a single bubble. The vitreous base along with the operculum of any retinal break was reflected anteriorly. The infusion of oil stabilised the anterior retina, making it possible to shave the vitreous closely in all 5 patients. Visualisation of the vitreous gel was also improved. There was a clear interface between vitreous and oil because of the large difference between the refractive indices of vitreous and oil. Four of the 5 patients had a total reattachment with one procedure. In the 2 cases in which 5,000 mPas silicone oil was used for long-term postoperative tamponade, no emulsification was observed. Follow-up of patients ranged from 6 to 13 months. There were no additional serious adverse reactions recorded. Conclusion: We found that the experience of using silicone oil was very highly positive. © 2011 S. Karger AG, Basel.
Persistent Identifierhttp://hdl.handle.net/10722/143946
ISSN
2015 Impact Factor: 1.515
2015 SCImago Journal Rankings: 1.033
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorWong, Den_HK
dc.contributor.authorLai, Wen_HK
dc.contributor.authorYusof, Wen_HK
dc.date.accessioned2011-12-21T10:28:47Z-
dc.date.available2011-12-21T10:28:47Z-
dc.date.issued2011en_HK
dc.identifier.citationOphthalmologica, 2011, v. 226 SUPPL. 1, p. 53-57en_HK
dc.identifier.issn0030-3755en_HK
dc.identifier.urihttp://hdl.handle.net/10722/143946-
dc.description.abstractIntroduction: We introduce the use of low-molecular-weight silicone oil as an infusion and as a peroperative tool to facilitate three specific surgical steps, namely internal search for retinal breaks, vitreous base shaving and drainage of subretinal fluid. Method and Patients: Ethics committee approval was obtained to test this novel agent in a small number of cases as a pilot study. Following vitrectomy the posterior retina was reattached and stabilised using perfluorocarbon liquid (PFCL). The infusion of balanced salt solution was then stopped and replaced with 5 mPas silicone oil. Subsequent surgery was assessed as to whether the infusion was helpful in the three surgical steps. Five cases were selected for this pilot study. Three presented with long-standing rhegmatogenous retinal detachment (RRD) of 2 or more months: 1 had dense vitreous haemorrhage and no fundal view at presentation; 2 had proliferative vitreoretinopathy. Of the remaining 2 cases, 1 had a giant retinal break and the other case had a combined diabetic tractional retinal detachment and RRD. Results: Additional retinal breaks were found in 2 patients. The silicone oil joined with the PFCL to form a single bubble. The vitreous base along with the operculum of any retinal break was reflected anteriorly. The infusion of oil stabilised the anterior retina, making it possible to shave the vitreous closely in all 5 patients. Visualisation of the vitreous gel was also improved. There was a clear interface between vitreous and oil because of the large difference between the refractive indices of vitreous and oil. Four of the 5 patients had a total reattachment with one procedure. In the 2 cases in which 5,000 mPas silicone oil was used for long-term postoperative tamponade, no emulsification was observed. Follow-up of patients ranged from 6 to 13 months. There were no additional serious adverse reactions recorded. Conclusion: We found that the experience of using silicone oil was very highly positive. © 2011 S. Karger AG, Basel.en_HK
dc.languageengen_US
dc.publisherS Karger AG. The Journal's web site is located at http://www.karger.com/OPHen_HK
dc.relation.ispartofOphthalmologicaen_HK
dc.rightsOphthalmologica. Copyright © S Karger AG.en_US
dc.subjectRetinal breaken_HK
dc.subjectSilicone oil infusionen_HK
dc.subjectSubretinal fluid drainageen_HK
dc.subjectVitreous base shavingen_HK
dc.subject.meshDrainage - methods-
dc.subject.meshRetinal Detachment - surgery-
dc.subject.meshRetinal Perforations - diagnosis-
dc.subject.meshSilicone Oils - administration and dosage - chemistry-
dc.subject.meshVitreous Body - surgery-
dc.titleThe use of continuous silicone oil infusion as a peroperative tool to facilitate break localisation, vitreous base dissection and drainage of subretinal fluiden_HK
dc.typeArticleen_HK
dc.identifier.openurlhttp://library.hku.hk:4550/resserv?sid=HKU:IR&issn=0030-3755&volume=226 Suppl 1&spage=53&epage=57&date=2011&atitle=The+use+of+continuous+silicone+oil+infusion+as+a+peroperative+tool+to+facilitate+break+localisation,+vitreous+base+dissection+and+drainage+of+subretinal+fluiden_US
dc.identifier.emailWong, D: shdwong@hku.hken_HK
dc.identifier.emailLai, W: wicolai@hku.hken_HK
dc.identifier.authorityWong, D=rp00516en_HK
dc.identifier.authorityLai, W=rp00531en_HK
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1159/000328213en_HK
dc.identifier.pmid21778781-
dc.identifier.scopuseid_2-s2.0-79960744141en_HK
dc.identifier.hkuros197808en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-79960744141&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume226en_HK
dc.identifier.issueSUPPL. 1en_HK
dc.identifier.spage53en_HK
dc.identifier.epage57en_HK
dc.identifier.isiWOS:000293257900009-
dc.publisher.placeSwitzerlanden_HK
dc.identifier.scopusauthoridWong, D=7401536078en_HK
dc.identifier.scopusauthoridLai, W=7402231098en_HK
dc.identifier.scopusauthoridYusof, W=53265622700en_HK

Export via OAI-PMH Interface in XML Formats


OR


Export to Other Non-XML Formats