Combined phacoemulsification and transpupillary removal of heavy silicone oil

Clark, Christopher A.; Habib, Maged; Steel, David

doi:10.1016/j.jcrs.2008.05.054

Cited by 5 publications

(4 citation statements)

References 16 publications

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“…A slight underfill with SO leaves a large area of the retina unsupported. [215][216][217][218][219] In general, an infusion must first be secured at the pars plana to allow saline to replace globe volume as SO is being aspirated. Therefore, redetachment in this regard may not have a direct relationship with whether SO was used or not.…”

Section: Recurrent Retinal Detachmentmentioning

confidence: 99%

Special Adjuncts to Treatment

Wong¹,

Wong²

2013

Retina

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Section: Recurrent Retinal Detachmentmentioning

confidence: 99%

Special Adjuncts to Treatment

Wong¹,

Wong²

2013

Retina

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“…In this patient, we used manual aspiration through an 18-gauge flexible cannula through the PCCC to remove the heavy silicone oil. Clark et al 21 describe an elegant technique for automated removal of heavy silicone oil using a vitreoretinal system, which is also an option for this uncommon situation. They devised a specially adapted 16-gauge intravenous cannula, which they attached to an automated viscous removal system to remove the heavy silicone oil through a clear corneal wound.…”

Section: Case Report and Surgical Techniquementioning

confidence: 99%

“…Silicone oil removal without the use of a separate infusion mechanism was later described by Jonas et al, 20 who used manual irrigation and aspiration (I/A) through a posterior capsulorhexis and a clear corneal wound for silicone oil removal. Clark et al 21 recently described a technique for removing heavy silicone oil with specialized vitreoretinal equipment. They describe the use of a specially adapted 16-gauge intravenous cannula attached to an automated viscous removal system for removing heavy silicone oil through a clear corneal wound.…”

mentioning

confidence: 99%

Simplified technique for combined silicone oil removal during phacoemulsification with standard or toric intraocular lens implantation

Boshra

Narváez

Gimbel

2009

Journal of Cataract and Refractive Surgery

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“…Phacoemulsification combined with a ROSO surgery is the most effective and convenient method to restore eyesight and is a less invasive method. [7][8] However, inflammation after the operation remains trouble for eye surgeons. Here, the use of blood thinners or enoxaparin such as Enoxaparin Sodium presents a solution to the inflammation problem.…”

Section: Introductionmentioning

confidence: 99%

Comparison of visual acuity and post-operative inflammation in phacoemulsification and removal of silicone oil with and without injection of Enoxaparin Sodium (40mg/0.04ml)

Buksh¹,

Khaqan²,

Imtiaz³

et al. 2021

J Fatima Jinnah Med Univ

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Background: Phacoemulsification and removal of silicone oil (ROSO) is a combined, frequently done procedure in retina theatre. A common problem in this procedure is the post inflammation that affects the recovery of the patients. Thus to counter this post-operative inflammation, the study has used Enoxaparin Sodium (an anti-inflammatory enoxaparin) to counter the post-operative inflammation in phacoemulsification and ROSO. Patients and methods: Prospective interventional study done at Ophthalmology Department, Lahore General Hospital, included 60 patients which were operated and observed for results over a period of 3 months. Total 60 patients were randomly allocated in two groups, Group A and B. Both groups underwent phacoemulsification and ROSO. Group A had Enoxaparin Sodium, admixed in infusion bottles with a dosage of 40mg/0.04ml while Group B was operated without Enoxaparin Sodium. Patients were examined on slit lamp on the 1st day after the surgery then on the 7th day and every month for 3 months for post-operative inflammation and visual recovery. The effectiveness of the procedure was defined by the comparison of post-operative inflammation as well as speedy recovery of sight. Results: Total 60 patients were randomly allocated in two groups. Group A had 30 patients, 23 males and 7 females, with mean age of 49.43 years. Group B included 30 patients, 19 males and 11 females, with mean age of 47.73 years. Post-operative BCVA in Group A was above vision 6/60 (Snellen’s Chart) in 90% of cases while it improved to vision 6/36 and better in 93% of cases at 7th day while 93% of cases crossed recovery of Vision 6/18 by 3rd Month. While in Group B, Vision 6/60 was observed in 70% of cases while it improved to vision 6/36 and better in 67% of cases at 7th day while 53% of cases crossed recovery of vision 6/18 by 3rd Month. Post-operative results for inflammation of Group B showed grade 3 reaction on first day (94%) while it reduced to grade 2 reaction on 7th day in 97% of the cases. While Group A was observed with occasional activity in 25 out of 30 cases (84%) on the first day and grade 2 reaction in 5 (16%) cases. 100% cases of Group A showed occasional activity on 7th day with better visual recovery. Conclusion: Intraoperative use of Enoxaparin Sodium helped in reducing post-operative inflammation as well as aided in better visual acuity after phacoemulsification and ROSO thus proving to be a viable enoxaparin agent to reduce post-operative reactions in these surgeries.

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Combined phacoemulsification and transpupillary removal of heavy silicone oil

Cited by 5 publications

References 16 publications

Special Adjuncts to Treatment

Special Adjuncts to Treatment

Simplified technique for combined silicone oil removal during phacoemulsification with standard or toric intraocular lens implantation

Comparison of visual acuity and post-operative inflammation in phacoemulsification and removal of silicone oil with and without injection of Enoxaparin Sodium (40mg/0.04ml)

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