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A modified air-assisted silicone oil removal from the anterior chamber

Silicone oil (SO) is a commonly used tamponading agent in retinal detachment surgeries. Inadvertent anterior migration of SO and complete anterior chamber (AC) oil fill in an aphakic or pseudophakic eye is occasionally encountered. This can cause secondary glaucoma with very high intraocular pressur...

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Autores principales: Baskaran, Prabu, Madhanagopalan, VG, Ramakrishnan, Seema
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7852421/
https://www.ncbi.nlm.nih.gov/pubmed/33542613
http://dx.doi.org/10.4103/ojo.OJO_196_2019
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author Baskaran, Prabu
Madhanagopalan, VG
Ramakrishnan, Seema
author_facet Baskaran, Prabu
Madhanagopalan, VG
Ramakrishnan, Seema
author_sort Baskaran, Prabu
collection PubMed
description Silicone oil (SO) is a commonly used tamponading agent in retinal detachment surgeries. Inadvertent anterior migration of SO and complete anterior chamber (AC) oil fill in an aphakic or pseudophakic eye is occasionally encountered. This can cause secondary glaucoma with very high intraocular pressure and pain. In this scenario, an urgent silicone oil removal (SOR) is warranted. Since SO is buoyant, in the supine position, it tends to rise anteriorly. Hence, removal of SO trapped in the AC will invariably lead to further migration of oil from the posterior segment into the AC to replace the volume removed. Simultaneous replacement of AC volume is necessary to prevent this. We describe a modified technique of partial SOR that employs air to prevent recurrent migration of SO into AC.
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spelling pubmed-78524212021-02-03 A modified air-assisted silicone oil removal from the anterior chamber Baskaran, Prabu Madhanagopalan, VG Ramakrishnan, Seema Oman J Ophthalmol Practitioner Section Silicone oil (SO) is a commonly used tamponading agent in retinal detachment surgeries. Inadvertent anterior migration of SO and complete anterior chamber (AC) oil fill in an aphakic or pseudophakic eye is occasionally encountered. This can cause secondary glaucoma with very high intraocular pressure and pain. In this scenario, an urgent silicone oil removal (SOR) is warranted. Since SO is buoyant, in the supine position, it tends to rise anteriorly. Hence, removal of SO trapped in the AC will invariably lead to further migration of oil from the posterior segment into the AC to replace the volume removed. Simultaneous replacement of AC volume is necessary to prevent this. We describe a modified technique of partial SOR that employs air to prevent recurrent migration of SO into AC. Wolters Kluwer - Medknow 2020-11-02 /pmc/articles/PMC7852421/ /pubmed/33542613 http://dx.doi.org/10.4103/ojo.OJO_196_2019 Text en Copyright: © 2020 Oman Ophthalmic Society http://creativecommons.org/licenses/by-nc-sa/4.0 This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Practitioner Section
Baskaran, Prabu
Madhanagopalan, VG
Ramakrishnan, Seema
A modified air-assisted silicone oil removal from the anterior chamber
title A modified air-assisted silicone oil removal from the anterior chamber
title_full A modified air-assisted silicone oil removal from the anterior chamber
title_fullStr A modified air-assisted silicone oil removal from the anterior chamber
title_full_unstemmed A modified air-assisted silicone oil removal from the anterior chamber
title_short A modified air-assisted silicone oil removal from the anterior chamber
title_sort modified air-assisted silicone oil removal from the anterior chamber
topic Practitioner Section
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7852421/
https://www.ncbi.nlm.nih.gov/pubmed/33542613
http://dx.doi.org/10.4103/ojo.OJO_196_2019
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