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Silicone Oil in the Anterior Chamber: Obstacles and Options

I present a case of emulsified silicone oil in the anterior chamber, which hides an underlying total cataract, and a very thick calcified anterior capsule and mild subluxation. I evacuated the emulsified silicone oil from the anterior chamber. and then i managed the calcified anterior capsule by fashioning an opening using a cannas scissors. I used a cautious divide and conquer Phacoemulsification for the cataract. After implanting the...

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Sutures Can Prevent Silicone-corneal Contact in Cases of Defect Iris-lens Diaphragm

Currently, silicone oil tamponade is one of the most important and common stages in vitreous surgery. Also well -known negative effect of silicone oil on the corneal endothelium with its long stay contact. This is especially actual in cases of traumatic lesions of the eyeball when there is absolutely no iris-lens diaphragm or partially defect Zinns ligaments. Methods: In our work, we used the bandage sutures from “Mani”...

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Sticky Silicone

I will be presenting 2 cases of adherent silicone oil (1000cs) to the retina. In one patient, the silicone oil led to entrapment of heavy liquid fluid underneath the oil and that in turn led to foveal oedema and loss of central vision. The oil was removed 10 days later but the foveal vision never recovered. In the second patient, the adherent silicone oil was displaced and removed using a combination of heavy liquid fluid and fluid-air...

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OCT Analysis in Case of Spontaneous MH After Silicone Oil Removal in PDVR B Case

Piotr Fryczkowski_SCIENTIFIC POSTER 2015 Case of proliferative diabetic vitreoretinopathy in 38 year old male with juvenile diabetes. Poster shows spontaneous macular hole formation with macular detachment in OCT one month after silicone oil removal. We reject vitrectomy as a treatment because in the first operation ILM was removed up to the temporal arcades. After double injections of 25% SF6 macula attached, and the hole remains flat...

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Inadvertent Intrachoroïdal Silicone Oil Injection: A 5 year Follow-up

Philippe Koch_SCIENTIFIC POSTER 2015 Introduction: To present the case of a 55 y.o. patient who developed an inadvertent silicone oil injection into the choroidal space during a vitrectomy for RRD and the resultant 5 y.o. follow-up. Case Presentation: A patient presented in 2010 with a LE rhegmatogenous retinal detachment extending from 9 to 7 o’clock, macula OFF. The causative break was a huge superior break extending from 10 to 3...

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Transconjunctival Active Silicone Oil Removal with a Simple Method Surgical Technique

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Purpose: Silicone oil removal is a necessary step after pars plana vitrectomy with silicone oil endotamponade. The advantages of transconjunctival surgery have already been described including fast postoperative rehabilitation, less discomfort, and the benefits of avoiding conjunctival dissection, diathermy and probably suturation. The...

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My Way in Achieving a Near-100% Silicone Oil Fill

Media not available due to technical recording problems. EVRS is very sorry for the inconvenience.   Background & Purpose: Achieving a near-100% fill of silicone oil is desirable for PVR surgery in order to: 1.Better support retinal breaks, especially inferiorly; 2. Provide a more complete tamponade to holes; 3. Maximize oil conformation to irregularities in eyewall contour; 4. Minimize emulsification due to oil bubble motion...

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Severe Inflammation After Sticky Silicone Removal

SCIENTIFIC POSTER_Mehmet Selim Kocabora Purpose : To report an unusual case with severe inflammatory reaction in the vitreous cavity after removal of sticky silicone oil. Case: A 60 year-old woman was operated 2 months ago in our clinic for a pseudophakic total retinal detachment with 2 large horse-shoe tears on her right eye. After a successful 23 Gauge pars plana vitrectomy with 1000 cs silicone oil tamponade, the retina was reattached...

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Active Silicone Oil Removal Transconjunctivally with a Simple Method. An Updated New Surgical Technique

Silicone oil removal is a necessary step after pars plana vitrectomy with silicone oil endotamponade. The advantages of transconjunctival surgery have already been described including fast postoperative rehabilitation, less discomfort, and the benefits of avoiding conjunctival dissection, diathermy and probably suturation. The purpose of this presentation is to demonstrate an easy and effective technique to remove silicone oil actively...

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Development of Angle Closure Glaucoma 2 Years After Vitrectomy with Silicone Oil Tamponade

Poster Erkan Unsal Objective: To present a case who developed angle closure glaucoma with pupillary block 2 year after vitrectomy and silicone oil tamponade for giant retinal tear and detachment. Methods: 55-year-old phakic patient was applied to our outpatient clinic with the complaint of left vision loss. Best-corrected visual acuity was hand motion and intraocular pressure (IOP) was 14mmHg. Left retinal detachment was detected and a...

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Double Endotamponade with PFCL – Silicone Oil in RD Surgery: Physical and Chemical Interaction

Background: “Conventional” silicone oil floats upwards in the vitreous cavity. This results in a good tamponade of the upper retina, but leaves the lower retina without an effective tamponade. On the contrary, heavy silicone oil sinks and provides less effective support of the upper retina. In order to support both upper and lower retina double tamponade with perfluorocarbon liquid (PFCL) and silicone oil is used. There is a concern...

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Clinical Outcomes According to Silicone Oil Removal Timing in PDR

Advantages: To evaluate the visual prognosis and the occurrence of complications after different terms of silicone oil removal (SOR) in proliferative diabetic retinopathy (PDR). Methods: 21 patients who underwent SOR less than 3 months and 12 patients more than 6 months were included in this retrospective study. The length of silicone oil retention in the eye, visual acuity (VA) and intraocular pressure (IOP) prior to the SOR procedure...

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The Effect of the Metabolic Activity of the Retina on the Cholesterol and Fatty Acids’s Contents of the Removed Silicone Oils

Purpose: To investigate the effect of the metabolic activity of the retina on the cholesterol and fatty acid contents of the removed silicone oils. Design: A retrospective trial. Participants: 25 removed silicone oils from 25 eyes were included in the study. Methods: Silicone oils (polydimethylsiloxane) were removed from a total of 25 cases after 4-8 months, who had undergone pars plana vitrectomy combined with phacoemulsification and...

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Chronic Elevated Intraocular Pressure Following Silicone Oil Tamponade for Complex Retinal Detachment Incidence and Risk Factors

Poster Imen Ammous Purpose: To report incidence, risk factors and management of chronic elevated intraocular pressure (CEIOP) after silicone oil tamponade in complex retinal detachment. Patients & methods: A retrospective study of 170 cases (169 patients): 108 eyes with complex rhegmatogenous retinal detachment and 62 eyes with tractional diabetic retinal detachment. Pars plana vitrectomy with silicone oil tamponade was performed in...

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Treatment of Full Thickness Macular Hole with ILM Peeling and Different Densities of Silicone Oil Tamponade

Advantages: A high macular hole closure rate is obtained, and late reopening of the hole is avoided. Methods: In a prospective randomized trial, 72 eyes of 71 patients underwent vitrectomy with ILM peeling after staining with ILM-Blue to treat full-thickness macular hole. Two treatment arms were used: either 2000 cs or 5000 cs silicone oil was used, which was removed after 3 months. During the second procedure, half of the eyes of each...

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Hso as 1st Choice in Complicated Retinal Detachment: Checkmate in Two Moves!

Advantages: To show our strategy in complicated R.D., with high possibility of developing PVR and R.D. recurrence. In such cases, our first choice is to use HSO as tamponading agent to ensure an efficient tamponade of the inferior sectors and to reallocate to the top an eventual recurrence to be treated at a later time. Methods: 24 selected patients, with high risk of PVR recurrence (>C3) were treated with heavy silicon oil (Densiron...

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New Silicone Oils with Molecular Design

Innovative molecular design for a new generation of silicone oils – high resistance against emulsification with improved injectability in small gauge ppV. Although Silicone oils have been in clinical use for 50 years, in vitro testing methods simulating the eye’s physics came into practice only shortly. These new testing methods are able to quantify emulsification. Testing conventional silicone oils, high viscous silicone oil with a...

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Double Endotamponade with Perfluorodecalin and Silicone Oil in Retinal Detachment Surgery: An Experimental and Clinical Study

Background: Silicone oil tamponade of vitreous cavity (VC) is widely used in the surgery of retinal detachments. Tamponade quality determines anatomical outcome. For a variety of reasons it is practically impossible to create an ideal tamponade with silicone oil. “Conventional” silicone oil floats upwards in the vitreous cavity. This results in a good tamponade of the upper retina, but leaves the lower retina without an effective...

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Closer Look at Physical Properties of PFCL and Silicone Oil

Advantages: To study physical properties of perfluorocarbon liquids and silicone oil in vitro. Methods: Samples of perfluodecalin and silicone oil were taken to study their physical properties under microscope in dormant conditions. Samples of emulsified silicone oil were studied under microscope in BSS drop to evaluate physical properties in dormant conditions. Additional sample staining with the use of stain Sudan III was performed....

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The Effect of Preplaced Suture on Postoperative Transient Hypotony After Pars Plana Silicone Oil Removal

Advantages: According to the latest report, postoperative transient hypotony after silicone oil removal was 39.3%. We reduced this incidence to about 5%, using preplaced suture. Methods: We retrospectively reviewed the medical records of patients who underwent pars plana silicone oil removal between January 2005 and June 2011. The changes of intraocular pressure (IOP) after surgery were recorded. Transient hypotony was defined as an IOP...

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HSO as First Choice in Complicated RD: Checkmate in Two Moves !

  Advantages: To show our strategy in complicated R.D, with high risk to develop recurrent RD with PVR. If the recurrence depends on the “dead space” where the concentration of fibroblastic cells is elevated, our first choice is to use HSO as tamponade agent to ensure an efficient tamponade of the inferior retina, and to “reallocate to the superior retina” eventual recurrence to treat in a second time with light...

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Silicone Oil Removal Using 23 G TSV with External Suction Pump

The procedure consists of three-port transconjunctival insertion of 23-gauge microcannulas. An inferotemporal cannula is connected to an infusion line and infusion pressure was controlled by air-pressurized infusion (VGFI: Vented Gas Forced Infusion by Accurus, Alcon) at 40-45 mmHg. We connected right-handed superior cannula to tubing adaptor from Total Plus Pak® (Alcon, Fort Worth, USA) wrapping 23-gauge microcannula entirely and used...

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Retinal Re-detachment After Silicone Oil Removal: First Steps of a Quality Management Procedure

Frank Koch, S. Deuchler, H. Krueger, Michael Koss, P. Singh (Frankfurt am Main, Germany) Advantages: To improve the quality of a vitreoretinal service by introducing strategies to counteract potential complications such as retinal redetachments after silicone oil removal. Methods: We evaluated retrospectively retinal detachments which had been tamponaded with silicone oil and in which the oil was successively removed (n = 119, silicone oil...

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Passive Removal of Silicone Oil with 23 G Transconjunctival System

Sengul Ozdek, Fulya Yaylacioglu (Ankara, Turkey) Advantages: Passive removal of 1000cs silicone oil with 23-G transconjunctival system is an easy and cheap method, which also allows additional vitreoretinal, maneuvers after removal. Methods: 91 eyes of 91 patients, enrolled in our clinic between January 2008 and April 2011, were studied retrospectively. After placing the 23 G infusion cannula, 23G trockars & cannulas were placed in...

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Phaco Fragmentation, Without IOL Implantation, in PVR Cases Treated with 25+G Vitrectomy and Silicone Oil

Stratos Gotzaridis, Elias Georg Alas, Thanasios Nikolakopoulos (Athens, Greece) Advantages: Cataract is always a factor that complicates the cases with PVR either during or after the vitrectomy. Removing the cataract and putting an IOL may lead to unstable AC that will allow oil to move into it. Methods: Eleven patients with total retinal detachment and stage IV PVR had also a moderate nuclear sclerosis. They underwent pars plana phaco...

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Silicone Oil in Retinal Detachments – Proposed Mechanisms of Action

Klaus Lucke (Bremen, Germany) The use of silicone oil for complex retinal detachments was developed primarily in Europe in the 70’s and 80’s. While there is widespread agreement on its advantages, to this day the mechanisms of action are not entirely understood and remain in part hypothetical. Recent developments such as the use of heavy oils, however, have shed some light on the mechanisms behind the beneficial effects of silicone...

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The Frequency of Silicone Oil Induced Glaucoma After Pars Plana Vitrectomy

A. Sergienko, L. Lytvynchuk, I. Kozlovska, Galina Y. Lavrenchuk, O. Fylypchuk, V. Siriachenko (Kyiv, Ukraine) Advantages: To evaluate the incidence of secondary glaucoma after pars plana vitrectomy due to silicon oil emulsification in different terms of endotamponade and to study the efficacy of trabeculectomy in refractory cases to medical treatment. Methods: Sixty-four (64) patients with different duration of silicon oil endotamponade...

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Recurrent Retinal Detachment in Silicone Oil Filled Eyes

Hassan Mortada (Cairo, Egypt) Advantages: Recurrent RD in silicone oil filled eyes may occur early due to persistent retinal traction not adequately relieved or missed breaks, or late due to reproliferation. The aim of the present study is to describe the pathogenesis and management of recurrent Rd, following vitrectomy and silicone oil tamponade in eyes with RRD complicated with PVR. Methods: 180 silicone oil filled eyes, with recurrent...

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Retinal Redetachment After Silicone Oil Removal

Silvia Bopp (Bremen, Germany) Advantages: To address the problem of retinal redetachments after silicone oil removal in eyes that had undergone vitreous surgery with silicone oil tamponade for complicated rhegmatogenous retinal detachment (RRD) and proliferative vitreoretinopathy (PVR). Methods: Retrospective chart review of 73 patients who had vitrectomy / silicone oil tamponade and consecutive oil removal between 2007-2010. Data...

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Silicone Oil and Macular Hole: Yes, We Still Use It!

http://www.evrs.eu/medias/2009/congress/Controversial-Techniques.flv Author: Vincenzo Ferrara, Vito Belloli, Arona, Italy Advantages: Macular holes occur mostly in elderly people presenting frequently with health problems and creating serious difficulties in keeping uncomfortable postoperative postures. Furthermore, most of the phakic patients develop cataract in a period of time variable from few months to one or two years after surgery,...

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Sutureless Silicone Oil Removal: a Novel Technique

http://www.evrs.eu/medias/2009/congress/Silicone.flv Authors: George Pappas, Theoni Panagiotoglou, Vasiliki Kounali, Paraskevi Drakou, Statos Gotzaridis, Heraklion, Greece Advantages: To present a novel technique for sutureless silicone oil removal. Methods: Silicone oil removal was performed through a self-sealed transconjunctival sclerotomy. Retina inspection and additional surgical procedures were performed through 23 gauge...

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Silicone Oil Tamponade Finishing in Treatment of Retinal Detachment

http://www.evrs.eu/medias/2009/congress/Silicone.flv Authors: K.P. Takhchidi, Victor N. Kazaykin, A.A. Rapoport, Yekaterinburg, Russia Advantages: To develop effective system of various methods of silicone oil (SO) tamponade finishing in retinal detachment (RD) treatment. Methods: The results of SO tamponade finishing in 257 eyes have been analyzed. During SO removal two main tasks have been solved: to create most favorable conditions for...

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Relaxing Retinotomy / Retinectomy for Recurrent Retinal Detachment in Silicone Oil – Filled Eyes

http://www.evrs.eu/medias/2009/congress/Silicone.flv Author: Hassan Mortada, Cairo, Egypt Advantages: Recurrent retinal detachment in silicone oil – filled eyes is most commonly due to persistent or recurrent retinal traction 2ry to periretinal proliferation or retinal shortening. Adequate circumferential retinotomy is effective in relieving anteroposterior and/or circumferential shortening, removing subretinal proliferation as well as...

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25 Gauge Surgery and Silicone Oil Made Easy

http://www.evrs.eu/medias/2009/congress/Silicone.flv Authors: Athanasios Nikolakopoulos, E. Fandel, K. Papadopoulou, I. Panidou, Thessaloniki, Greece Advantages: We present our technique of injecting silicone oil in a fast and easy way in complicated retina problems using only 25 G minimal invasive surgery. Methods: The method is using all the abilities of the forced air injection VGFI and MED ONE special silicone oil 25 G injection...

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Do We Need Heavy Silicone Oil for PVR with Inferior Retinal Breaks or Retinotomy?

http://www.evrs.eu/medias/2009/congress/Silicone.flv Author: Khaled El Rakhawy, Cairo, Egypt Advantages: Conventional (standard) silicone oil has been used for PVR since a very long time. Recurrent retinal detachment often involves the inferior retina. Many heavier – than – water tamponading agents were tried as a means to prevent or to treat this situation. Heavy silicone oil was recently widely advocated as the recommended choice for...

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Retinal Re-Detachment in Eyes with Silicone Oil

http://www.evrs.eu/medias/2008/congress/Retinal-Re-Detachment-in-Eyes-with-Silicone-Oil.flv Daniel Vilaplana; Vladimir Poposki; Daniel Martin Advantages: Retinal detachment presenting in eyes intervened on previously and tamponaded with silicone oil has a bad prognosis. We present our own surgery technique that combines different procedures. Methods: Our surgical technique consists of the following steps: phacoemulsification (if necessary);...

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Silicone Oil Removal Associated with Secondary IOL Implantation Under Topical Anesthesia

http://www.evrs.eu/medias/2008/congress/Silicone-Oil-Removal-Associated-with-Secondary-IOL-Implantation-Under-Topical-Anesthesia.flv Gilbert WS Simanjuntak, Jannes F Tan, Helario Hasibuan, Jusuf Wijaya Advantages: To remove the silicone oil tamponade along with secondary intra ocular lens (IOL) implantation under topical anesthesia. Methods: Vitrectomized eyes where the peripheral capsule had been intentionally spared and which had been...

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My Silicone Oil Removal Technique Both in Phakic and Aphakic Patients and in Patients with Cataract

http://www.evrs.eu/medias/2008/congress/My-Silicone-Oil-Removal-Technique-Both-in-Phakic-and-Aphakic-Patients-and-in-Patients-with-Cataract.flv Sengul Ozdek Advantages: These sutureless techniques are easy to perform for the surgeons and comfortable for the patients Methods: In pkakic patients: After a 23G 3-port pars plana entry silicone oil is drained passively from the superior trockars. It takes 5 minutes. You can also continue with...

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Iris-Plane Sutures as Silicone Oil Barrier in Completely or Partially Aniridic Patients

http://www.evrs.eu/medias/2008/congress/Iris-Plane-Sutures-as-Silicone-Oil-Barrier-in-Completely-or-Partially-Aniridic-Patients.flv Colin A. McCannel Advantages: Simple, inexpensive technique to minimize chance of cornea – silicone oil touch which can lead to corneal decompensation.                                                                  Methods: The iris presents...

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The Use of Silicone Oil – Perfluoron Combination for Treatment of Recurrent Proliferative Vitreoretinopathy

http://www.evrs.eu/medias/2008/congress/The-Use-of-Silicone-Oil-Perfluoron-Combination-for-Treatment-of-Recurrent-Proliferative-Vitreoretinopathy.flv Jack O. Sipperley Advantages: Treatment of recurrent retinal detachments with inferior reproliferation has been successfully treated in nine consecutive patients with a combination of Silicone Oil and Perfluoron. Methods: After standard vitrectomy, membrane stripping, subretinal membrane...

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How to Avoid the Internal Tamponade Invading the Anterior Chamber.

http://www.evrs.eu/medias/2008/congress/How-to-Avoid-the-Internal-Tamponade-Invading-the-Anterior-Chamber.flv Frank Becquet Advantage: In case of zonulo-capsular disruption (zonular defect, artisan IOL, aphakia, etc.), retinal tamponading agents could invade the anterior chamber during silicone oil injection or could flatten an artisan IOL against the cornea during gas exchange. Method: The anterior chamber is filled completely with a...

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Using the PFCL-Air-Silicone Exchange System for the Surgical Treatment of Retinal Detachment

http://www.evrs.eu/medias/2008/congress/Using-the-PFCL-Air-Silicone-Exchange-System-for-the-Surgical-Treatment-of-Retinal-Detachment.flv Dmitriy Shkvorchenko Advantages: An improved technique for carrying out tamponading of the cavity at the end of surgical procedures is suggested. The silicone oil tamponade can be carried out in a so-called dry eye. This allows reduction in the percentage of retinal re-detachment in the postoperative...

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Retrograde Heavy Silicone Oil Injection in Difficult Cases

http://www.evrs.eu/medias/2008/congress/Retrograde-Heavy-Silicone-Oil-Injection-in-Difficult-Cases.flv Jean-Paul Amar Advantages: In difficult retinal detachments, the control of Silicone / Fluid exchange and the safety with which the maneuver is carried out are the two main goals to obtain. Methods: At the end of the surgery, especially in giant tears, the usual management is very difficult and risky, especially when one performs the...

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Removal of Silicone Oil with a 23-25 Gauge Sutureless

Schiena G., Primavera V., Turco I., Prascina F., Liotino G., Delle Noci Advantages: With this retrospective study we evaluated efficiency and safety of removal of silicone oil 1000 cs from pars plana with 23-25gauge transconjunctival sutureless system after retinal detachment. Methods: A series of 15 eyes using 23-25gauge sutureless technique was evaluated between January 2007 and February 2008. For the system of infusion we used a tube...

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Vitrectomy Session – Silicone

http://www.evrs.eu/medias/2007/videos/vitrectomysession-silicone.flv

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Passive Removal of Silicone Oil with 25-gauge Transconjunctival Sutureless Vitrectomy Instruments

Ziya Kapran, MD (Istanbul, Turkey), Nur Acar, MD (Istanbul, Turkey), Yaprak Banu Unver, MD (Istanbul, Turkey), Tugrul Altan, MD (Istanbul, Turkey), Bulut Ocak, MD (Istanbul, Turkey) PURPOSE: To report a new and simple technique for passive silicone oil removal from pars plana with 25-gauge transconjunctival sutureless vitrectomy instrumentation. METHODS: In this prospective, interventional clinical trial, 48 eyes underwent silicone oil...

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Triamcinolone Acetonide in Silicone-filled Eyes as Adjunctive Treatment for Proliferative Vitreoretinopathy; a Randomized Clinical Trial

http://www.evrs.eu/medias/2006/congress/Triamcinolone-Acetonide-in-Silicone-filled-Eyes-as-Adjunctive-Treatment-for-Proliferative-Vitreoretinopathy;-a-Randomized-Clinical-Trial.swf Hamid Ahmadieh, MD (Tehran, Iran), Homa Tabatabaei, MD (Tehran, Iran), Mostafa Feghi, MD (Ahvaz, Iran), Ardeshir Papi, MD (Tehran, Iran), Alireza Ramezani, MD (Tehran, Iran), Touka Banaee, MD (Mashhad, Iran) PURPOSE: To evaluate the effect of triamcinolone...

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Use of Silicone Oil for Treatment of Postvitrectomy Diabetic Vitreous Hemorrhage

Serguei V Nossov, MD (Ekaterinburg, Russia) PURPOSE: To review the anatomic and visual outcomes of a consecutive series of patients with postvitrectomy diabetic vitreous hemorrhage who underwent revision vitrectomy with silicon oil tamponade. METHODS: The study included 184 patients (192 eyes) who consecutively underwent pars plana vitrectomy for proliferative diabetic retinopathy. Postvitrectomy diabetic vitreous hemorrhage occurred in 36...

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Surgical Management of Iris-diaphragm Intraocular Lens Luxation

Jerzy A. Mackiewicz, MD (Lublin, Poland), Ewa Rakowska, MD (Lublin, Poland) SYNOPSIS The film shows fragments of two surgical proce-dures on the left eye of 28 y.o. man with irisdiaphragm intraocular lens, type Morcher, luxated into the vitreous. The first part shows vitrectomy with decaline injection, lens shifting to the anterior chamber and transscleral fixation. The second part of the film shows vitrectomy with silicone oil tamponade,...

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Intravitreal Triamcinolone Acetonide in Silicone Filled Eye to Prevent Presilicone Fibrosis and Inferior Proliferative Vitreoretinopathy

Morteza Mehdizadeh, MD (Shiraz, Iran) PURPOSE: To asses the effect of intravitreal Triamcinolone Acetonide in silicone filled eye to prevent presilicone fibrosis (PSF) and proliferative vitreoretinopathy. METHODS: 4 eyes of 4 patients with early PSF and PVR changes in inferior retina 10-14 days after pars plana vitrectomy and silicone oil injection were taken. 0.1 ml, 4mg Triamcinolone Acetonide was injected through pars plana. The...

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Heavy Silicones in Severe Vitreoretinal Diseases

Heavy Silicones in Severe Vitreoretinal Diseases

Cesare Forlini, MD (Ravenna, Italy), Paolo Rossini, MD (Ravenna, Italy) SYNOPSIS To describe the usefulness of new heavy silicone oils in the management of complex cases of vitreoretinal surgery: a severe penetrating trauma, a macular trans-location for large paramacular hole in previous vitrectomy for CNV removal, and a closed trauma in previous PK patient with iris and lens expulsion.   VIDEO not communicated Sorry for the...

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No Light Perception (NLP) Vision After Injury: Don’t Give Up!

http://www.evrs.eu/medias/2006/videos/No-Light-Perception-NLP-Vision-After-Injury:-Don-t-Give-Up.flv Ferenc Kuhn, MD, PhD (Birmingham, AL) SYNOPSIS Over 90% of NLP eyes are enucleated, although vision often could be improved with timely reconstruction. This film is on an 80-year-old lady with an occult rupture after falling. Vision was NLP (confirmed at the slit lamp); the lens was under the conjunctiva and she had a retinal detachment....

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No Light Perception Vision After Injury: Don’t Give Up!

No Light Perception Vision After Injury: Don’t Give Up!

Ferenc Kuhn, MD, PhD (Birmingham, AL) SYNOPSIS Over 90% of NLP eyes are enucleated, although vision often could be improved with timely reconstruction. This film is on an 80-year-old lady with an occult rupture after falling. Vision was NLP (confirmed at the slit lamp); the lens was under the conjunctiva and she had a retinal detachment. Comprehensive reconstruction (wound closure, removal of extruded tissues, vitrectomy, silicone oil...

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25g Sutureless Surgery and Silicone Oil Injection

Athanasios Nikolakopoulos, MD (Thessaloniki, Greece), Ifigenia Panidou, (Thessaloniki, Greece), Elie Fantel, (Thessaloniki, Greece), Konstantinos Skamnos, (Thessaloniki, Greece), Dimitrios Kurodimos, (Thessaloniki, Greece), Nikoletta Leventi, (Thessaloniki, Greece) PURPOSE: Until now 25g sutureless surgery had limitations, due to instruments small lumen and flexibility. With the new instrumentation we present our technique of injecting...

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Heavy Silicones in Severe Vitreoretinal Diseases

Cesare Forlini, MD (Ravenna, Italy), Paolo Rossini, MD (Ravenna, Italy) SYNOPSIS To describe the usefulness of new heavy silicone oils in the management of complex cases of vitreoretinal surgery: a severe penetrating trauma, a macular trans-location for large paramacular hole in previous vitrectomy for CNV removal, and a closed trauma in previous PK patient with iris and lens expulsion.

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C3F8 Injection Induces Inferior Retinal Tamponade by Regular Silicone Oil

Morteza Mehdizadeh, MD (Shiraz, Iran) PURPOSE: To asses the effect of C3F8 in silicone filled eye to induce inferior retinal tamponade. METHODS: To assess the effect of C3F8 in silicone filled eye to induce inferior retinal tamponade. RESULTS: In 3 of 6 of these eyes (50%) inferior retinal reattachment were achieved, so Laser retinopexy were done in these eyes. In 2 of them (33.4%) retina remained attached after disappearance of gas bubble...

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A frequent cause for retinal detachment occur-ring in open globe injuries is retinal incarceration. The boundary between which cases are operable and which are not has been moved forward as new surgical tech-niques and materials have become available through the years. Aim of this video is to illustrate some of these concepts as we consider a first case in which the boundary of operability has been stretched forward and a second case in which there is a happy ending for a severe injury.

Ferenc Kuhn, MD, PhD (Birmingham, AL) SYNOPSIS Over 90% of NLP eyes are enucleated, although vision often could be improved with timely reconstruction. This film is on an 80-year-old lady with an occult rupture after falling. Vision was NLP (confirmed at the slit lamp); the lens was under the conjunctiva and she had a retinal detachment. Comprehensive reconstruction (wound closure, removal of extruded tissues, vitrectomy, silicone oil...

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First Experience with Acetylsalicylic Silicone Oil in Human Eye

Gerhard F. Kieselbach (Innsbruck, Austria), Ulrike Stolba, MD (Vienna, Austria), Michaela Velikay, MD (Graz, Austria), Stefan Egger, MD (Salzburg, Austria), Andreas Wedrich, MD (Graz, Austria), Susanne Binder, MD (Vienna, Austria), Martina Kralinger, MD (Innsbruck, Austria) PURPOSE: To evaluate the safety and efficacy of acetylsalicylic silicone oil (ASA-SiO) for proliferative vitreoretinopathy in human eye. METHODS: In a prospective,...

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An Investigation of Physical Forces Defining Tamponading Properties of Silicon Oil (SO) Under Static Condition of the Eyeball

Victor Kazaikin, MD (Ekateringurg, Russia), Khristo P. Takhchidi, MD, PhD (Moscow, Russia), Gennadiy V. Chashchin, (Ekaterinburg, Russia), Michail B. Matevosyan, (Ekaterinburg, Russia) PURPOSE: To estimate physical forces most crucial for tamponading properties of silicon oil under static condition of the eyeball. METHODS: The value of tamponade pressure to the retina was calculated for silicon oil specific gravity equal to 0.94 and 0.97...

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Circular Macular Translocation in Selected Cases of CNV and Heavy Silicone Tamponade

Cesare Forlini, MD, Paolo Rossini, MD, Giuseppe Giunchiglia, MD, Roberto Lodi, MD – Department of Ophthalmology, S. Maria delle Croci Hospital, Ravenna, Italy Purpose: To evaluate the role of heavy tamponade in circular macular translocation. Methods: After PPVV we performed circular macular translocation and heavy silicone oil tamponade. 1 patient had age related macular degeneration with CNV and 1 atrophic age related macular...

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