Silicone-fluorosilicone copolymer oil has low viscosity (175-185 cSt) and is heavier than water (density, 1.16 g cm-3). Short term
retinal tolerance (within 2 months) of the
silicone-fluorosilicone copolymer oil has been reported to be the same as that of currently used intraocular
silicone oil. Ocular response of the purified
silicone-fluorosilicone copolymer oil were examined clinically and histopathologically from 2.5 months to 6 months after vitreous cavity injection in rabbit phakic eyes, and compared the oil tolerance with that of purified
silicone oil (0.97 g cm-3, 5000 cSt). The effects in anterior chamber also were examined within 4 weeks of the
silicone-fluorosilicone copolymer oil injection in different rabbits.
Silicone-fluorosilicone copolymer oil recovered from the vitreous cavity at 6 months was analysed for
cholesterol and
retinol content by high performance liquid chromatography. Because of its low viscosity,
silicone-fluorosilicone copolymer oil was easy to inject and remove from the vitreous cavity with a 20-G needle. After the vitreous injection, discrete droplet formation by the
silicone-fluorosilicone copolymer oil occurred more easily than by
silicone oil. Medullary ray detachment was seen in a
silicone oil-, and some
silicone-fluorosilicone copolymer oil-injected eyes at 4-6 months. Histopathologically, after 3-6 months disappearance of outer plexiform layer and disorganization of the photoreceptor layer of
silicone oil-, and
silicone-fluorosilicone copolymer oil-injected eyes were seen in the superior and the inferior retina, respectively. Migration of the photoreceptor cell nuclei to the photoreceptor layer was found in the inferior retina of
silicone-fluorosilicone copolymer oil-injected eyes at 5-6 months. Small droplets ingested by mononuclear cells were found in the vitreous cavity or preretina at 4-6 months in
silicone-fluorosilicone copolymer oil-injected eyes. After the
anterior chamber injection,
silicone-fluorosilicone copolymer oil induced endothelial cell damage in the area where the oil contacted continuously.
Retinol and
cholesterol were identified in
silicone-fluorosilicone copolymer oil removed from the vitreous cavity.
Silicone-fluorosilicone copolymer oil may be useful as an intraoperative device in
retinal detachment surgery and as a short term (up to about 2 months)
retinal tamponade but we do not recommend it for long term
retinal tamponade.