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Published in: International Ophthalmology 7/2019

01-07-2019 | Original Paper

Novel and easy techniques for 27-gauge silicone oil infusion and removal

Authors: Zhaotian Zhang, Shaochong Zhang

Published in: International Ophthalmology | Issue 7/2019

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Abstract

Purpose

To introduce novel and easy techniques for 27-gauge silicone oil (SO) infusion and removal.

Methods

Consecutive patients treated with 27-gauge pars plana vitrectomy (PPV) plus SO infusion (Infusion Group) and scheduled to have SO removal (Removal Group) were prospectively included, respectively. Patients in Infusion Group underwent 27-gauge PPV plus SO infusion. SO infusion was performed with a 24-gauge intravenous catheter connected with the SO syringe. Patients in Removal Group underwent machine-independent SO removal using a short section of infusion tube connected with a 10-mL syringe. Main outcomes were best-corrected visual acuity, intraocular pressure, surgical time and intra- and postoperative complications.

Results

There were thirty-five eyes (35 patients) and forty eyes (40 patients) included in Infusion and Removal Groups, respectively. Mean surgical time of complete SO infusion and removal was 5.5 ± 0.9 and 9.6 ± 2.1 min, respectively. In both groups, no patient experienced postoperative vision deterioration or hypotony. No obvious intra- and postoperative complications were observed.

Conclusions

We recommend the use of the 24-gauge catheter method for 27-gauge silicone oil infusion when commercial infusion cannula is unavailable. The machine-independent method using easily available plastic infusion tube and syringe would be an ideal option when 27-gauge surgery is anticipated.
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Literature
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go back to reference Grosso A, Charrier L, Lovato E, Panico C, Mariotti C, Dapavo G, Chiuminatto R, Siliquini R, Gianino MM (2014) Twenty-five-gauge vitrectomy versus 23-gauge vitrectomy in the management of macular diseases: a comparative analysis through a Health Technology Assessment model. Int Ophthalmol 34:217–223. https://doi.org/10.1007/s10792-013-9818-3 CrossRefPubMed Grosso A, Charrier L, Lovato E, Panico C, Mariotti C, Dapavo G, Chiuminatto R, Siliquini R, Gianino MM (2014) Twenty-five-gauge vitrectomy versus 23-gauge vitrectomy in the management of macular diseases: a comparative analysis through a Health Technology Assessment model. Int Ophthalmol 34:217–223. https://​doi.​org/​10.​1007/​s10792-013-9818-3 CrossRefPubMed
Metadata
Title
Novel and easy techniques for 27-gauge silicone oil infusion and removal
Authors
Zhaotian Zhang
Shaochong Zhang
Publication date
01-07-2019
Publisher
Springer Netherlands
Published in
International Ophthalmology / Issue 7/2019
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI
https://doi.org/10.1007/s10792-018-0976-1

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