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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 purpose of this presentation is to demonstrate an easy and effective technique to remove silicone oil act ively through pars plana transconjunctivally.

Methods:

An easy updated new technique is described to prepare for the active removal of silicone oil through pars plana transconjunctivally. The equipment is simply performed using the routine equipments available in every operating room setting for pars plana vitrectomy. Silicone oil is actively aspirated through the transconjunctival trocar. The efficiency and the safety of the technique is evaluated.

Results:

This new method was used in 10 consequtive eyes with silicone oil removal. In 7 eyes silicome oil were 1000 centistokes, whereas in 3 eyes they were 5000cst. The ratio of pseudophakia to phakia was 7/3 in 10 eyes. In all eyes silicone oil was effectively removed through 23/25-gauge transconjunctival trocars. In 5 eyes partial fluid/air exchange was performed which prevented leakage. In 5 eyes a transconjuntival suturing was performed. No postoperative complication such as hypotony, vitreous hemorrhage, retinal detachment, or endophthalmitis was seen.

Conclusion:

This new method of active silicone oil removal transconjunctivally through transconjunctival trocar is found to be effective and safe. It is a simple method, easy to prepare with the routine equipments available in every operating room setting for pars plana vitrectomy. Further studies to warrant this finding is necessary.