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Use of high-density fluorosilicone oil in open-sky vitrectomy.

Abstract
During prolonged open-sky vitrectomy, fluid accumulates in the suprachoroidal and subretinal spaces and the resultant ballooning of the choroid and of the retina interferes with the surgery. Fluorosilicone oil (polymethyl-3,3,3-trifluoropropylsiloxane) with a specific gravity of 1.28 was tested for use as a temporary vitreous substitute during open-sky vitrectomy. After open-sky vitrectomy and bullous retinal detachment in pigmented rabbits, fluorosilicone oil flattened the retina completely in nine of nine eyes, whereas 1% sodium hyaluronate solution flattened the retina completely in only four of nine eyes. The flattening effect of fluorosilicone oil on the retina was also better than that of 1% sodium hyaluronate in an experiment with retinal detachment and giant retinal tear after open-sky vitrectomy.
AuthorsH Chung, J Acosta, M F Refojo, F I Tolentino
JournalRetina (Philadelphia, Pa.) (Retina) Vol. 7 Issue 3 Pg. 180-2 ( 1987) ISSN: 0275-004X [Print] United States
PMID3423434 (Publication Type: Comparative Study, Journal Article, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, P.H.S.)
Chemical References
  • Dimethylpolysiloxanes
  • Silicone Oils
  • Silicones
  • polymethyl-3,3,3-trifluoropropylsiloxane
  • Hyaluronic Acid
Topics
  • Animals
  • Dimethylpolysiloxanes (administration & dosage)
  • Hyaluronic Acid (administration & dosage)
  • Rabbits
  • Retinal Detachment (surgery)
  • Retinal Perforations (surgery)
  • Silicone Oils
  • Silicones (administration & dosage)
  • Vitrectomy (methods)

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