ArticleClinical ophthalmology (Auckland, N.Z.)2026
Perfluorocarbon-Assisted Emulsified Silicone Oil Removal: A Simple and Effective Technique.
Article in Clinical ophthalmology (Auckland, N.Z.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Purpose: To describe and evaluate a perfluorocarbon liquid (PFCL)-assisted technique for removal of emulsified silicone oil following vitreoretinal surgery. Methods: This retrospective interventional case series conducted at a single vitreoretinal center included 20 eyes with significant emulsified silicone oil following long-term tamponade. PFCL was used intraoperatively to mobilize and evacuate residual silicone oil droplets. Clinical outcomes included residual emulsified oil, intraocular pressure, and best-corrected visual acuity over a mean follow-up of 24.2 months. Results: At final follow-up, 17 eyes (85%) showed complete clearance of visible emulsified silicone oil. Sparse microscopic droplets persisted in 3 eyes (15%) without clinical significance. No eye developed elevated intraocular pressure (>21 mmHg) or corneal complications. Best-corrected visual acuity improved or remained stable in all eyes, with 65% achieving an improvement of ≥2 Snellen lines. Conclusion: PFCL-assisted washout may represent a practical adjunctive technique for managing emulsified silicone oil in challenging cases, achieving high rates of clinical clearance with a favorable safety profile. Larger prospective studies are required to validate these findings.
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