Passive removal of silicone oil with a 25-gauge sutureless system.
OBJECTIVE
To report the outcome of a new sutureless technique for passive removal of silicone oil with a 25-gauge system.


METHODS
Between January 2005 and February 2006, 32 patients (32 eyes) underwent passive silicone oil removal with a 25-gauge system in a prospective, interventional case series in our hospital. Main data recorded were visual acuity, intraocular pressure (IOP), silicone oil removal time, complications, and number of sutured sites.


RESULTS
Mean follow-up was 11.46 +/- 3.98 months. Mean silicone oil removal time was 8.93 +/- 0.85 (range, 7.0-11.5) min. A suture was placed in only one eye because of leakage. Visual acuity improved in 27 eyes (86.4%), and stabilized in five eyes (15.6%). IOP decreased significantly at all visits during follow-up. On day one, four eyes (12.5%) were hypotonous. Choroidal folds were observed in two eyes (6.25%). No other complications were noted.


CONCLUSIONS
Passive removal of silicone oil with a 25-gauge sutureless technique was effective for 1000 centistokes of oil. Transient hypotony in the early postoperative period did not adversely affect the visual outcomes.
Kapran
Ziya
Z
Beyoğlu Eye Research and Training Hospital, Istanbul, Turkey.
Acar
Nur
N
Unver
Yaprak Banu
YB
Altan
Tugrul
T
Ocak
Bulut
B
D002404:Catheterization / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007429:Intraocular Pressure / Q000502:physiology; D007431:Intraoperative Complications; D008297:Male; D008866:Microsurgery / Q000379:methods*; D008875:Middle Aged; D011183:Postoperative Complications; D011446:Prospective Studies; D012163:Retinal Detachment / Q000601:surgery; D012827:Silicone Oils; D013396:Suction / Q000379:methods*; D013536:Suture Techniques; D014792:Visual Acuity / Q000502:physiology; D014821:Vitrectomy / Q000379:methods
D012827:Silicone Oils