Hybrid 23/25-Gauge Direct Perfluorocarbon Liquid-Silicone Oil Exchange.

Autor:	Elhusseiny AM; Department of Ophthalmology, Bernice and Harvey Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas., Sanders RN; Department of Ophthalmology, Bernice and Harvey Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas., Ellabban AA; Department of Ophthalmology, Hull University Teaching Hospitals, Hull, United Kingdom; and.; Department of Ophthalmology, Suez Canal University, Ismailia, Egypt., Sallam AB; Department of Ophthalmology, Bernice and Harvey Jones Eye Institute, University of Arkansas for Medical Sciences, Little Rock, Arkansas.
Jazyk:	angličtina
Zdroj:	Retina (Philadelphia, Pa.) [Retina] 2023 Dec 01; Vol. 43 (12), pp. 2123-2125.
DOI:	10.1097/IAE.0000000000003468
Abstrakt:	Purpose: To describe a novel technique for direct perfluorocarbon liquid (PFCL)-silicone oil exchange that aims to reduce the inherent risk of intraoperative intraocular pressure spike. Methods: We use the conventional setup for passive PFCL-silicone exchange, but intentionally create a mismatch between the passive PFCL aspiration and the active silicone injection that favors the PFCL extrusion. This is achieved by converting one port to a large gauge one-23 or 20-gauge. Results: We did not note the occurrence of high intraocular pressure spikes with this technique as noted by disk pallor or attenuated vessels. Conclusion: A hybrid 23/25-gauge technique for direct PFCL-silicone oil exchange is safe and reduces the risk of intraoperative intraocular pressure spike.
Databáze:	MEDLINE
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