Journal of Otolaryngology and Ophthalmology of Shandong University ›› 2023, Vol. 37 ›› Issue (1): 80-84.doi: 10.6040/j.issn.1673-3770.0.2021.455

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Two methods of vitreous silicone oil extraction with self-made simple devices

LUAN Guogang1, CHEN Jinjin2, YAN Tao2   

  1. 1. Department of Ophthalmology, Yichang Aier Eye Hospital, Yichang 443000, Hubei, China;
    2. Department of Ophthalmology, Yichang First People's Hospital / People's Hospital of Three Gorges University, Yichang 443003, Hubei, China;
  • Published:2023-02-06

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Abstract: Objective This study aimed to investigate the feasibility of using two simple devices for vitreous silicone oil extraction. Methods Overall, 200 eyes of 200 patients with rhegmatogenous retinal detachment and stable retinal attachment after silicone oil filling for 3-6 months were selected. The patients were randomly divided into two groups. Group one composed of 102 patients who were treated with 20G Y intravenous indwelling trocar to make a simple oil-extracting device to get silicone oil by 20G channel. Subsequently, a 20G flute needle was used for gas-liquid exchange to remove residual silicone oil. Group two composed of 98 patients. The two ends of the straight blood transfusion tube were vertically cut with a retention length of 5 mm. One end was set on the 23G oil extraction cannulas and the other end was connected with a 20 mL syringe for oil extraction. The 23G flute needle was used for gas-liquid exchange to remove residual silicone oil. Results There was no significant difference in the removal time between groups one and two(［4.65±1.52］ min vs ［4.85±2.02］ min, T=1.38, P=0.14). There was a significant difference for the gas-liquid exchange time between groups one and two(［1.25±0.51］ min vs ［2.16±1.24］ min, T=8.34, P=0.003). There was no significant difference in the intraocular pressure between the two groups preoperatively and postoperatively for 1 day, 4 days, 1 week, and 1 month(P>0.05). There were no significant differences in the infection rate, bleeding rate, and recurrence rate for retinal detachment between the two groups(P>0.05). The silicone oil residual rate in group one was lower than that in group two and was statistically different(5.10% vs 19.61%, P=0.002). Conclusion The two methods are safe and effective for silicone oil extraction. However, 20G Y vein indent needle combined with 20G flute needle is more advantageous in terms of the gas-liquid exchange time and silicone oil residual rate.

Key words: Silicone oil extraction, 20GY vein indwelling trocar, 20G channel, 23G flute needle, Gas-liquid exchange, Complication

CLC Number: 

  • R774.1
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