Twenty-five-gauge vitrectomy for the removal of 5000 centistokes silicone oil

Denis Jusufbegovic, Jonathan D. Gambrell, Yoreh Barak, Shlomit Schaal

Research output: Contribution to journalArticle

5 Citations (Scopus)

Abstract

PURPOSE:: To compare the safety and efficacy of removing 5000 centistokes silicone oil between 20-gauge and 25-gauge vitrectomy technique. METHODS:: Prospective case series of 34 consecutive patients undergoing 5000 centistokes silicone oil removal using 20-gauge or 25-gauge cannulas. The main outcome measures were the safety and efficacy of silicone oil removal. The safety was evaluated by recording intraoperative and postoperative complication rates, including bleeding, recurrence of retinal detachment, hypotony, choroidal detachment, corneal edema, endophthalmitis, vitreous hemorrhage, conjunctival injection, and subconjunctival hemorrhage. The efficacy was judged by the ability to attain the complete removal of silicone oil and the total surgical time to complete the procedure. RESULTS:: Sixteen patients underwent 20-gauge vitrectomy for the removal of 5000 centistokes silicone oil between January 2008 and January 2010, and 18 patients underwent 25-gauge vitrectomy for the removal of 5000 centistokes silicone oil from January 2010 to August 2012. Silicone oil was successfully removed completely in all cases. Using 25-gauge vitrectomy to remove silicone oil was significantly more time efficient with the mean total surgical time of 25 ± 6 minutes compared with 42 ± 10 minutes in 20-gauge vitrectomy group (P < 0.05). There were no differences in the intraoperative or postoperative complication rates between the two groups. None of the patients developed postoperative recurrence of retinal detachment, hypotony, choroidal detachment, corneal edema, endophthalmitis, or vitreous hemorrhage. CONCLUSION:: Twenty-five-gauge silicone oil removal is safe and effective. Surgical time is significantly reduced using sutureless 25-gauge sclerotomies. This may translate to cost reduction by decreasing time spent in the operating room.

Original languageEnglish (US)
Pages (from-to)1938-1942
Number of pages5
JournalRetina
Volume33
Issue number9
DOIs
StatePublished - Oct 1 2013
Externally publishedYes

Fingerprint

Silicone Oils
Vitrectomy
Operative Time
Corneal Edema
Vitreous Hemorrhage
Endophthalmitis
Intraoperative Complications
Retinal Detachment
Safety
Hemorrhage
Recurrence
Operating Rooms
Outcome Assessment (Health Care)
Costs and Cost Analysis
Injections

Keywords

  • retinal detachment
  • silicone oil
  • small gauge
  • vitrectomy

ASJC Scopus subject areas

  • Ophthalmology

Cite this

Twenty-five-gauge vitrectomy for the removal of 5000 centistokes silicone oil. / Jusufbegovic, Denis; Gambrell, Jonathan D.; Barak, Yoreh; Schaal, Shlomit.

In: Retina, Vol. 33, No. 9, 01.10.2013, p. 1938-1942.

Research output: Contribution to journalArticle

Jusufbegovic, Denis ; Gambrell, Jonathan D. ; Barak, Yoreh ; Schaal, Shlomit. / Twenty-five-gauge vitrectomy for the removal of 5000 centistokes silicone oil. In: Retina. 2013 ; Vol. 33, No. 9. pp. 1938-1942.
@article{606e77010b3b4834b34aed8c98898f80,
title = "Twenty-five-gauge vitrectomy for the removal of 5000 centistokes silicone oil",
abstract = "PURPOSE:: To compare the safety and efficacy of removing 5000 centistokes silicone oil between 20-gauge and 25-gauge vitrectomy technique. METHODS:: Prospective case series of 34 consecutive patients undergoing 5000 centistokes silicone oil removal using 20-gauge or 25-gauge cannulas. The main outcome measures were the safety and efficacy of silicone oil removal. The safety was evaluated by recording intraoperative and postoperative complication rates, including bleeding, recurrence of retinal detachment, hypotony, choroidal detachment, corneal edema, endophthalmitis, vitreous hemorrhage, conjunctival injection, and subconjunctival hemorrhage. The efficacy was judged by the ability to attain the complete removal of silicone oil and the total surgical time to complete the procedure. RESULTS:: Sixteen patients underwent 20-gauge vitrectomy for the removal of 5000 centistokes silicone oil between January 2008 and January 2010, and 18 patients underwent 25-gauge vitrectomy for the removal of 5000 centistokes silicone oil from January 2010 to August 2012. Silicone oil was successfully removed completely in all cases. Using 25-gauge vitrectomy to remove silicone oil was significantly more time efficient with the mean total surgical time of 25 ± 6 minutes compared with 42 ± 10 minutes in 20-gauge vitrectomy group (P < 0.05). There were no differences in the intraoperative or postoperative complication rates between the two groups. None of the patients developed postoperative recurrence of retinal detachment, hypotony, choroidal detachment, corneal edema, endophthalmitis, or vitreous hemorrhage. CONCLUSION:: Twenty-five-gauge silicone oil removal is safe and effective. Surgical time is significantly reduced using sutureless 25-gauge sclerotomies. This may translate to cost reduction by decreasing time spent in the operating room.",
keywords = "retinal detachment, silicone oil, small gauge, vitrectomy",
author = "Denis Jusufbegovic and Gambrell, {Jonathan D.} and Yoreh Barak and Shlomit Schaal",
year = "2013",
month = "10",
day = "1",
doi = "10.1097/IAE.0b013e318285ce1b",
language = "English (US)",
volume = "33",
pages = "1938--1942",
journal = "Retina",
issn = "0275-004X",
publisher = "Lippincott Williams and Wilkins",
number = "9",

}

TY - JOUR

T1 - Twenty-five-gauge vitrectomy for the removal of 5000 centistokes silicone oil

AU - Jusufbegovic, Denis

AU - Gambrell, Jonathan D.

AU - Barak, Yoreh

AU - Schaal, Shlomit

PY - 2013/10/1

Y1 - 2013/10/1

N2 - PURPOSE:: To compare the safety and efficacy of removing 5000 centistokes silicone oil between 20-gauge and 25-gauge vitrectomy technique. METHODS:: Prospective case series of 34 consecutive patients undergoing 5000 centistokes silicone oil removal using 20-gauge or 25-gauge cannulas. The main outcome measures were the safety and efficacy of silicone oil removal. The safety was evaluated by recording intraoperative and postoperative complication rates, including bleeding, recurrence of retinal detachment, hypotony, choroidal detachment, corneal edema, endophthalmitis, vitreous hemorrhage, conjunctival injection, and subconjunctival hemorrhage. The efficacy was judged by the ability to attain the complete removal of silicone oil and the total surgical time to complete the procedure. RESULTS:: Sixteen patients underwent 20-gauge vitrectomy for the removal of 5000 centistokes silicone oil between January 2008 and January 2010, and 18 patients underwent 25-gauge vitrectomy for the removal of 5000 centistokes silicone oil from January 2010 to August 2012. Silicone oil was successfully removed completely in all cases. Using 25-gauge vitrectomy to remove silicone oil was significantly more time efficient with the mean total surgical time of 25 ± 6 minutes compared with 42 ± 10 minutes in 20-gauge vitrectomy group (P < 0.05). There were no differences in the intraoperative or postoperative complication rates between the two groups. None of the patients developed postoperative recurrence of retinal detachment, hypotony, choroidal detachment, corneal edema, endophthalmitis, or vitreous hemorrhage. CONCLUSION:: Twenty-five-gauge silicone oil removal is safe and effective. Surgical time is significantly reduced using sutureless 25-gauge sclerotomies. This may translate to cost reduction by decreasing time spent in the operating room.

AB - PURPOSE:: To compare the safety and efficacy of removing 5000 centistokes silicone oil between 20-gauge and 25-gauge vitrectomy technique. METHODS:: Prospective case series of 34 consecutive patients undergoing 5000 centistokes silicone oil removal using 20-gauge or 25-gauge cannulas. The main outcome measures were the safety and efficacy of silicone oil removal. The safety was evaluated by recording intraoperative and postoperative complication rates, including bleeding, recurrence of retinal detachment, hypotony, choroidal detachment, corneal edema, endophthalmitis, vitreous hemorrhage, conjunctival injection, and subconjunctival hemorrhage. The efficacy was judged by the ability to attain the complete removal of silicone oil and the total surgical time to complete the procedure. RESULTS:: Sixteen patients underwent 20-gauge vitrectomy for the removal of 5000 centistokes silicone oil between January 2008 and January 2010, and 18 patients underwent 25-gauge vitrectomy for the removal of 5000 centistokes silicone oil from January 2010 to August 2012. Silicone oil was successfully removed completely in all cases. Using 25-gauge vitrectomy to remove silicone oil was significantly more time efficient with the mean total surgical time of 25 ± 6 minutes compared with 42 ± 10 minutes in 20-gauge vitrectomy group (P < 0.05). There were no differences in the intraoperative or postoperative complication rates between the two groups. None of the patients developed postoperative recurrence of retinal detachment, hypotony, choroidal detachment, corneal edema, endophthalmitis, or vitreous hemorrhage. CONCLUSION:: Twenty-five-gauge silicone oil removal is safe and effective. Surgical time is significantly reduced using sutureless 25-gauge sclerotomies. This may translate to cost reduction by decreasing time spent in the operating room.

KW - retinal detachment

KW - silicone oil

KW - small gauge

KW - vitrectomy

UR - http://www.scopus.com/inward/record.url?scp=84885021345&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84885021345&partnerID=8YFLogxK

U2 - 10.1097/IAE.0b013e318285ce1b

DO - 10.1097/IAE.0b013e318285ce1b

M3 - Article

VL - 33

SP - 1938

EP - 1942

JO - Retina

JF - Retina

SN - 0275-004X

IS - 9

ER -