In our practice we often see gas bubbles after emulsified silicone removal. It is known that these bubbles can play vital role in changing (increasing/decreasing) IOP (intra-ocular pressure). So, what do you use for full removal of emulsified silicone from vitreous cavity?
These emulsified small oil bubbles remain hidden over the back of the iris/ ciliary body region. Multiple Air fluid exchange at the time of oil removal helps to some extent.
I agree. These are emulsified small oil bubbles and are difficult to get rid off. Multiple Air fluid exchange at the time of oil removal helps. In addition, rapid movements of the eye in different directions to expose the bubbles helps. These maneuvers need to be performed several times to be successful.
I also use multiple air fluid exchanges and move the eye around to remove as many oil bubbles as possible from the posterior chamber. One other top is to keep your extrusion hand piece (the vit rector works well too) at the air fluid interface during exchanges as this is where the bubbles tend to be.
multiple fluid air exchanges does the trick in most of the cases
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