Subscribe to RSS
Please copy the URL and add it into your RSS Feed Reader.
https://www.thieme-connect.de/rss/thieme/en/10.1055-s-00000031.xml
CC BY-NC-ND 4.0 · Klin Monbl Augenheilkd 2022; 239(11): 1337-1353
DOI: 10.1055/a-1929-9413
DOI: 10.1055/a-1929-9413
Übersicht
Main Principles of Vitrectomy Using Intraocular Tamponades – A Basic Course in Surgery
Article in several languages: deutsch | English
Abstract
This article is intended to clearly present the basic principles for the use of intraocular tamponades in vitreous/retinal surgery in the event of retinal detachment and other pathologies using additional video footage. It examines the various gases, silicone oils and perfluorocarbon liquids with their indications, administration and in particular intraoperative handling including pitfalls and complications. Characteristic animations show the principles of use in surgery in a comprehensible way. The two lead authors dedicate this article to their teacher Prof. Dr. V.-P. Gabel, who in the early 1990s successfully established the first vitrectomy courses for ophthalmologists at Regensburg University Eye Clinic each year. Many colleagues who still work in retinal surgery today first started learning about this segment on these courses. The other coauthors participated under his supervision in annual vitrectomy wet labs run by the German Academy of Ophthalmology.
Key words
vitrectomy - silicone oil - perfluorocarbons - sulfur hexafluoride - intraocular tamponades - retinal retachmentPublication History
Received: 28 April 2022
Accepted: 30 July 2022
Article published online:
21 November 2022
© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany
-
References/Literatur
- 1 Faude F, Meier P, Wiedmann P. Eindellende Operationen bei rhegmatogener Amotio retinae. Ophthalmologe 2002; 90: 308-323
- 2 Hoerauf H, Heimann H, Hansen L. et al. Skleraeindellende Ablatiochirurgie und pneumatische Retinopexie. Techniken, Indikationen und Ergebnisse. Ophthalmologe 2008; 105: 7-18
- 3 Radeck V, Helbig H, Barth T. et al. Ablatiochirurgie: Trends über 15 Jahre. Ophthalmologe 2022; 119 (Suppl. 01) S64-S70 DOI: 10.1007/s00347-021-01430-4.
- 4 Nishitsuka K, Kawasaki R, Yamakiri K. et al. Japan Retinal Detachment Registry Group. Preoperative factors to select vitrectomy or scleral buckling for retinal detachment in microincision vitrectomy era. Graefes Arch Clin Exp Ophthalmol 2020; 258: 1871-1880 DOI: 10.1007/s00417-020-04744-2.
- 5 Walter P, Hellmich M, Baumgarten S. et al. VIPER Study Group. Vitrectomy with and without encircling band for pseudophakic retinal detachment: VIPER Study Report No 2 – main results. Br J Ophthalmol 2017; 101: 712-718 DOI: 10.1136/bjophthalmol-2016-309240.
- 6 Faude F, Wiedemann P. Intraokulare Gase in der Glaskörper- und Netzhautchirurgie. Teil I: Grundlagen. Ophthalmologe 1999; 96: 349-358
- 7 Faude F, Wiedemann P. Intraokulare Gase in der Glaskörper- und Netzhautchirurgie. Teil II: Klinik. Ophthalmologe 1999; 96: 413-420
- 8 Faude F, Wolf S, Wiedemann P. Flüssige Perfluorkarbone in der Glaskörper- und Netzhautchirurgie. Ophthalmologe 2000; 97: 652-661
- 9 Chang S. Intraocular Gases. In: Ryan SJ. ed. Retina. 2nd ed.. St. Louis: Mosby-Year Book; 1989: 2115-2129
- 10 Pastor JC, Rojas J, Pastor-Idoate S. et al. Proliferative vitreoretinopathy: A new concept of disease pathogenesis and practical consequences. Prog Retin Eye Res 2016; 51: 125-155 DOI: 10.1016/j.preteyeres.2015.07.005.
- 11 Hecht I, Mimouni M, Blumenthal EZ. et al. Sulfur Hexafluoride (SF6) versus Perfluoropropane (C3F8) in the Intraoperative Management of Macular Holes: A Systematic Review and Meta-Analysis. J Ophthalmol 2019; 2019: 1820850 DOI: 10.1155/2019/1820850.
- 12 Hillenkamp J, Surguch V, Framme C. et al. Management of submacular hemorrhage with intravitreal versus subretinal injection of recombinant tissue plasminogen activator. Graefes Arch Clin Exp Ophthalmol 2010; 248: 5-11 DOI: 10.1007/s00417-009-1158-7.
- 13 Feltgen N, Hoerauf H. Aktueller Stellenwert von schweren Flüssigkeiten als intraoperatives Hilfsmittel bei vitreoretinalen Eingriffen. Ophthalmologe 2019; 116: 919-924
- 14 Framme C, Junker B, Feltgen N. et al. Indikationen bei Intravitrealer Injektionstherapie mit Anti-VEGF für Makulaerkrankungen – Fehler vermeiden. Ophthalmologe 2022; 119: 309-326 DOI: 10.1007/s00347-021-01553-8.
- 15 Chang S. Low viscosity liquid fluorochemicals in vitreous surgery. Am J Ophthalmol 1987; 103: 38-43
- 16 Chang S, Zimmerman NJ, Iwamoto T. et al. Experimental vitreous replacement with perfluorotributylamine. Am J Ophthalmol 1987; 103: 29-37
- 17 Gamulescu MA, Helbig H, Bartz-Schmidt UK. Luftembolie bei Vitrektomie?. Klin Monbl Augenheilkd 2010; 227: 185-186 DOI: 10.1055/s-0028-1109959.
- 18 Morris RE, Sapp MR, Oltmanns MH. et al. Presumed air by vitrectomy embolisation (PAVE) a potentially fatal syndrome. Br J Ophthalmol 2014; 98: 765-768 DOI: 10.1136/bjophthalmol-2013-303367.
- 19 Joussen AM, Wong D. Egress of large quantities of heavy liquids from exposed choroid: a route for possible tumor dissemination via vortex veins in endoresection of choroidal melanoma. Graefes Arch Clin Exp Ophthalmol 2015; 253: 177-178
- 20 Fiorentzis M, Bechrakis NE. Vortex vein cauterization and truncation to avoid perfluorocarbon syndrome during endoresection of uveal melanomas: a retrospective study. Eye (Lond) 2022; DOI: 10.1038/s41433-022-02119-x.
- 21 Rojanaporn D, Tipsuriyaporn B, Chulalaksiriboon P. et al. Fatal Air Embolism after Choroidal Melanoma Endoresection without Air Infusion: A Case Report. Ocul Oncol Pathol 2021; 7: 321-325
- 22 Pastor JC, Coco RM, Fernandez-Bueno I. et al. Acute Retinal Damage after Using a Toxic Perfluoro-Octane for Vitreo-Retinal Surgery. Retina 2017; 37: 1140-1151
- 23 Menz DH, Feltgen N, Lechner T. et al. Hydrofluoric Acid and Other Impurities in Toxic Perfluorooctane Batches. Transl Vis Sci Technol 2019; 8: 24 DOI: 10.1167/tvst.8.3.24.
- 24 Menz DH, Feltgen N, Menz H. et al. How to Ward Off Retinal Toxicity of Perfluorooctane and Other Perfluorocarbon Liquids?. Invest Ophthalmol Vis Sci 2018; 59: 4841-4846
- 25 Cibis PA, Becker B, Okun E. et al. The use of liquid silicone in retinal detachment surgery. Arch Ophthalmol 1962; 68: 590-599
- 26 Scott JD. A rationale for the use of liquid silicone. Trans Ophthalmol Soc UK (1962) 1977; 97: 235-237
- 27 Zivojnović R, Mertens DA, Baarsma GS. Das flüssige Silikon in der Amotiochirurgie. Bericht über 90 Fälle. Klin Monbl Augenheilkd 1981; 179: 17-22
- 28 Szurman P, Bartz-Schmidt KU. Silikonöl in der Netzhautchirurgie. Ophthalmologe 2000; 97: 514-525 DOI: 10.1007/s003470070085.
- 29 Bausch + Lomb. Oxane®-Silikonöle. Im Internet (Stand: 05.01.2022): https://www.bausch-lomb.de/fachbereich/augenchirurgen/vitreoretinale-tamponaden/oxaner/
- 30 Fluron® . Densiron® 68. Die bewährte „Schwerer-als-Wasser“-Silikonöltamponade. Im Internet (Stand: 05.01.2022): https://www.fluoron.de/produkte_loesungen/langzeit-tamponaden/densiron-68/
- 31 Kirchhof B. Vor- und Nachteile des schweren Silikonöls. Ophthalmologe 2010; 107: 566 568–570 DOI: 10.1007/s00347-010-2215-7.
- 32 Joussen AM, Kirchhof B, Schrage N. et al. HSO Study Group. Heavy silicone oil versus standard silicone oil as vitreous tamponade in inferior PVR (HSO Study): design issues and implications. Acta Ophthalmol Scand 2007; 85: 623-630 DOI: 10.1111/j.1600-0420.2007.00898.x.
- 33 Regler R, Sachs HG, Hillenkamp J. et al. Long-term evaluation of anatomic and functional results after complicated retinal detachment treated with pars plana vitrectomy and heavy silicone oil tamponade. Klin Monbl Augenheilkd 2009; 226: 707-712 DOI: 10.1055/s-0028-1109685.
- 34 Joussen AM, Rizzo S, Kirchhof B. et al. HSO Study Group. Heavy silicone oil versus standard silicone oil in as vitreous tamponade in inferior PVR (HSO Study): interim analysis. Acta Ophthalmol 2011; 89: e483-e489 DOI: 10.1111/j.1755-3768.2011.02139.x.
- 35 Schwartz SG, Flynn jr. HW, Lee WH. et al. Tamponade in surgery for retinal detachment associated with proliferative vitreoretinopathy. Cochrane Database Syst Rev 2014; (02) CD006126 DOI: 10.1002/14651858.CD006126.pub3.
- 36 Morescalchi F, Costagliola C, Duse S. et al. Heavy silicone oil and intraocular inflammation. Biomed Res Int 2014; 2014: 574825 DOI: 10.1155/2014/574825.
- 37 Lucke K, Strobel B, Foerster M. et al. Sekundärglaukome nach Silikonölchirurgie. Klin Monbl Augenheilkd 1990; 196: 205-209 DOI: 10.1055/s-2008-1046155.
- 38 Framme C, Hoerauf H, Wachtlin J. et al. Retinale Lasertherapie – Fehler vermeiden. Ophthalmologe 2020; 117: 169-188 DOI: 10.1007/s00347-019-01035-y.
- 39 Beekhuis WH, Ando F, Zivojnović R. et al. Basal iridectomy at 6 oʼclock in the aphakic eye treated with silicone oil: prevention of keratopathy and secondary glaucoma. Br J Ophthalmol 1987; 71: 197-200 DOI: 10.1136/bjo.71.3.197.
- 40 Lappas A, Dietlein TS, Rosentreter A. et al. Visusverlust nach Silikonölchirurgie. Klin Monbl Augenheilkd 2018; 235: 725-729 DOI: 10.1055/s-0042-120281.