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
[1] Gonzalez MA, Flynn HW Jr, Smiddy WE, et al. Giant retinal tears after prior pars Plana vitrectomy: management strategies and outcomes[J]. Clin Ophthalmol, 2013, 7: 1687-1691. doi:10.2147/OPTH.S48930
[2] Alkabes M, Padilla L, Salinas C, et al. Assessment of OCT measurements as prognostic factors in myopic macular hole surgery without foveoschisis[J]. Albrecht Von Graefes Arch Fur Klinische Und Exp Ophthalmol, 2013, 251(11): 2521-2527. doi:10.1007/s00417-013-2347-y
[3] Garnier S, Rahmi A, Grasswil C, et al. Three hundred and sixty degree retinotomy for retinal detachments with severe proliferative vitreoretinopathy[J]. Albrecht Von Graefes Arch Fur Klinische Und Exp Ophthalmol, 2013, 251(9): 2081-2085. doi:10.1007/s00417-013-2298-3
[4] Mangouritsas G, Mourtzoukos S, Portaliou DM, et al. Glaucoma associated with the management of rhegmatogenous retinal detachment[J]. Clin Ophthalmol, 2013, 7: 727-734. doi:10.2147/OPTH.S42792
[5] 陈钰虹, 项潇琼, 朱鸿, 等. 光学相干断层扫描血管成像技术评估孔源性视网膜脱离患者行玻璃体切割联合气体或硅油填充术后的黄斑区血流变化[J]. 上海交通大学学报(医学版), 2019, 39(6): 605-612. doi:10.3969/j.issn.1674-8115.2019.06.008 CHEN Yuhong, XIANG Xiaoqiong, ZHU Hong, et al. Macular blood flow changes assessed by optical coherence tomography angiography after pars Plana vitrectomy with gas or silicone oil tamponade for the patients with rhegmatogenous retinal detachment[J]. Journal of Shanghai Jiao Tong University(Medical Science), 2019, 39(6): 605-612. doi:10.3969/j.issn.1674-8115.2019.06.008
[6] 许菁, 王方. 硅油对视神经的毒性作用[J]. 国际眼科杂志, 2019, 19(5): 787-790. doi:10.3980/j.issn.1672-5123.2019.5.18 XU Jing, WANG Fang. Toxic effect of silicone oil on optic nerve[J]. International Eye Science, 2019, 19(5): 787-790. doi:10.3980/j.issn.1672-5123.2019.5.18
[7] Matic S, Suic SP, Biuk D, et al. Influence of silicone oil tamponade after vitrectomy on intraocular pressure[J]. Coll Antropol, 2013, 37(Suppl 1): 227-235
[8] 孔德菊, 于旭辉. 硅油填充术后继发高眼压的相关危险因素[J]. 国际眼科杂志, 2018, 18(11): 2003-2006. doi:10.3980/j.issn.1672-5123.2018.11.13 KONG Deju, YU Xuhui. Risk factors of secondary intraocular hypertension after silicone oil tamponade[J]. International Eye Science, 2018, 18(11): 2003-2006. doi:10.3980/j.issn.1672-5123.2018.11.13
[9] Zhang ZT, Wei YT, Jiang XT, et al. A machine-independent method to have active removal of 5, 000 centistokes silicone oil using plastic infusion tube and 23-gauge microcannulas[J]. BMC Ophthalmol, 2015, 15: 114. doi:10.1186/s12886-015-0103-2
[10] 阮建祥, 陈春霞, 钱莉, 等. 改良注射器负压在硅油限速取出术中的临床应用[J]. 临床眼科杂志, 2020, 28(2): 166-169. doi:10.3969/j.issn.1006-8422.2020.02.017 RUAN Jianxiang, CHEN Chunxia, QIAN Li, et al. Clinical application of negative pressure generated by the modified syringe in silicone oil removal with limited speed[J]. Journal of Clinical Ophthalmology, 2020, 28(2): 166-169. doi:10.3969/j.issn.1006-8422.2020.02.017
[11] Song ZM, Chen D, Ke ZS, et al. A new approach for active removal of 5, 000 centistokes silicone oil through 23-gauge Cannula[J]. Retina, 2010, 30(8): 1302-1307. doi:10.1097/IAE.0b013e3181e09841
[12] 吴荣瀚, 林仲, 梁奇华, 等. 玻璃体切割术后三种硅油取出方法比较[J]. 中华眼视光学与视觉科学杂志, 2018, 20(4): 209-215. doi:10.3760/cma.j.issn.1674-845X.2018.04.004 WU Ronghan, LIN Zhong, LIANG Qihua, et al. Comparison of three methods for intraocular silicone oil removal[J]. Chinese Journal of Optometry Ophthalmology and Visual Science, 2018, 20(4): 209-215. doi:10.3760/cma.j.issn.1674-845X.2018.04.004
[13] 冀垒兵,杨永利,辛文剑.自制23G抽吸器进行硅油取出术临床效果观察[J].中华眼外伤职业病杂志 2018, 40(12):911-915. doi:10.3760/cma.j.issn.2095-1447.2018.12.009 JI Lei bing, Yang Yongli, XinWenjian. Observation on the efficacy of silicone oil removal with self-made 23 G suction unit[J]. Chin J Ocul Traum Occupat Eye Dis, 2018, 40(12):911-915. doi:10.3760/cma.j.issn.2095-1447.2018.12.009
[14] 杨加富, 宋瑜, 侯帅, 等. 医用注射器抽吸压力的测定[J]. 中国美容整形外科杂志, 2010, 21(12): 734-736. doi:10.3969/j.issn.1673-7040.2010.12.011 YANG Jiafu, SONG Yu, HOU Shuai, et al. Measurement of aspiration pressure of medical syringe[J]. Chinese Journal of Aesthetic and Plastic Surgery, 2010, 21(12): 734-736. doi:10.3969/j.issn.1673-7040.2010.12.011
[15] 柯治生, 宋宗明, 王瑞华. 微创玻璃体切割系统在硅油取出术中的应用[J]. 中国实用眼科杂志, 2010, 28(1): 72-74. doi:10.3760/cma.jssn.1006-4443.2010.01.023 KE Zhisheng, SONG Zongming, WANG Ruihua. The application of micro-incision vitrectomy system in the method to remove silicone oil combined with secondary posterior chamber intraocular lens implantation[J]. Chinese Journal of Practical Ophthalmolog, 2010, 28(1): 72-74. doi:10.3760/cma.jssn.1006-4443.2010.01.023
[16] 田磊, 刘金梅. 气液交换在硅油取出术中应用的效果[J]. 中华眼外伤职业眼病杂志, 2020, 42(6): 470-473. doi:10.3760/cma.j.cn116022-20191215-00423 TIAN Lei, LIU Jinmei. Efficacy of application of air-fluid exchange during silicone oil removal[J]. Chinese Journal of Ocular Trauma and Occupational Eye Disease, 2020, 42(6): 470-473. doi:10.3760/cma.j.cn116022-20191215-00423
[17] 雷建平. 23G与20G玻璃体切割系统在硅油取出术中的对比研究[J]. 国际眼科杂志, 2016, 16(10): 1832-1835. doi:10.3980/j.issn.1672-5123.2016.10.11 LEI Jianping. Comparison of 23 G and 20 G vitreous cut system in silicone oil extracting operation[J]. International Eye Science, 2016, 16(10): 1832-1835. doi:10.3980/j.issn.1672-5123.2016.10.11
[18] Oh HJ, Chang W, Min SG. Efficacy and safety of active silicone oil removal through a 23-gauge transconjunctival Cannula using an external vacuum pump[J]. Int J Ophthalmol, 2015, 8(2): 347-352. doi:10.3980/j.issn.2222-3959.2015.02.24
[19] 李璐希, 王雨生, 李曼红, 等. 缝合切口与否对25G玻璃体切割术后患者眼压及相关并发症的影响[J]. 眼科新进展, 2018, 38(7): 664-668. doi:10.13389/j.cnki.rao.2018.0156 LI Luxi, WANG Yusheng, LI Manhong, et al. Clinical observation of postoperative intraocular pressure and complication for 25-gauge transconjunctival suture and sutureless vitrectomy[J]. Recent Advances in Ophthalmology, 2018, 38(7): 664-668. doi:10.13389/j.cnki.rao.2018.0156
[20] Brazitikos PD, Androudi S, Christen WG, et al. Primary pars Plana vitrectomy versus scleral buckle surgery for the treatment of pseudophakic retinal detachment: a randomized clinical trial[J]. Retina, 2005, 25(8): 957-964. doi:10.1097/00006982-200512000-00001
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