• Pak J Med Sci · Mar 2023

    Comparison of residual silicone oil index after removal of silicone oil with fluid-air versus oil-fluid exchange.

    • Amna Rizwan, Rana Muhammad Mohsin Javaid, Sidrah Latif, Muhammad Suhail Sarwar, and Asad Aslam Khan.
    • Amna Rizwan, Eye Unit-III, Mayo Hospital Lahore, Pakistan.
    • Pak J Med Sci. 2023 Mar 1; 39 (2): 439443439-443.

    ObjectivesTo compare the effectiveness of fluid-air exchange with silicone oil-fluid exchange in reducing the residual silicone oil (SO) droplets after the removal of SO.MethodsThis was a prospective, quasi-experimental study conducted from October 2021 to February 2022 at Eye Unit-III, COAVS, Mayo Hospital, Lahore. Sixty-one patients with siliconized eyes underwent removal of SO with two different techniques and were divided into fluid-air exchange and oil-fluid exchange groups. To quantify the residual silicone droplets objectively, B-scan echographic images were analyzed within seven days of surgery. Silicone oil index (SOI) which is the amount of residual SO droplets/vitreal area in the images was calculated with the help of imagej software.ResultsThe residual SOI of the fluid-air exchange group (0.99 ± 1.76%) was significantly lower than the oil-fluid exchange group (3.25 ± 3.85%). The SOI is positively correlated with the duration of tamponade, preoperative intraocular- pressure and axial length. Persistent IOP elevation post-operatively was seen in 16.67% individuals in the fluid-air exchange group and 54.8% individuals in the oil-fluid exchange group.ConclusionFluid-air exchange group was found to be superior in reducing residual SO droplets than the oil-fluid exchange group.Copyright: © Pakistan Journal of Medical Sciences.

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