With non-eye related injections (like diabetic insulin delivery), this isn’t a big deal. Do not copy or redistribute in any form! Pneumatic retinopexy helps the retina to attach itself to the eye’s wall. You see, the compounding pharmacies that would package Avastin® in syringes for off-label eye injections were careless in their use of silicone-coated needles. X. With much appreciation for your reply, thank you. Silicone oil was introduced by Cibis in the 1960s as an intraocular tamponade prior to the introduction of pars plana vitrectomy. I cannot tell you how happy I was when I woke up this morning to have that blob gone. The blob is gone.....was there last night when I went to bed, but I just woke up, and it is gone! This forum is a wonderful place to share our experiences and the journey to saving our sight. (All in left eye). When silicone oil fills the vitreous cavity of the phakic eye or the entire aphakic eye, the refractive correction can be expected to change by 5-9 diopters and sometimes as much as 14 diopters. Even worse, the silicone particles are injected directly into the patient’s line of sight – which is why so many Avastin® eye injection patients are seeing “floaters” and bubble-like spots in their vision. With oil in the eye, you can usually have some vision immediately after the operation. How long after treatment should I see improvement? My husband has his second injection today and now has a black blob in his field of vision. Ask our community of thousands of members your health questions, and learn from others experiences. I was waiting for this to go and after a week I rang up my eye clinic. Stay healthy through tips curated by our health experts. However, we will follow up with suggested ways to find appropriate information related to your question. Next month I will get the 3rd Eylea injection to complete the typical “3 month load”, and at that time my dr. will evaluate to see if the interval can be longer, maybe every 6-8 weeks until the next injection. While it was annoying, I think I could have lived with the blob because it was at the bottom.....but am so happy it is gone. Your vision may not be completely normal after your vitrectomy, especially if your condition caused permanent damage to your retina. I can tell you my central vision is excellent. The body can deal with some silicone particles being injected into the bloodstream without much problem. Will let you know when it is gone. So a thorough discussion with your ophthalmologist would be necessary for a more complete answer. I hope that is the case! This technique may be ideal for extensive detachment. My dr. scheduled my 3rd Eylea for May, so that should be what they call “the load”, and then he said I may be able to stretch out the injections to longer intervals. Info about after removing silicone oil of vitrectomy, Corneal Ulcer - No vision yet please help/advise. This held for about a week. But can silicone lubricant sometimes find its way onto the needle? Good sight is so precious, most especially for me since I have Central Serous Retinopathy in my other eye.....there is nothing dr. can do to fix that. 1 It has become the preferred tamponade agent in cases at high risk for recurrent retinal detachment, such as in eyes with retinal detachment associated with severe proliferative vitreoretinopathy (PVR) or with detachment resulting from viral retinitis. These syringes that pharmacies filled with Avastin® (which is a liquid) had needles that were often coated in silicone oil. It is a solid black dot that floats into my field of vision. Probably nothing more than an air bubble. Next steps So pleased for you. Think your reply was for smallpurplecat? It appears you have not yet Signed Up with our community. Holladay, and others, have recommended that biconvex intraocular lenses should not be placed in patients who have silicone oil in the vitreous cavity. The Silicone Study established the efficacy of SO in a randomized, controlled clinical trial that compared 1000-centistoke SO to 14% C 3 F 8 and 20% SF 6 in patients with retinal detachment and grade C3 or greater PVR. From the patient’s perspective, the presence of silicone oil causes poor vision and is undesirable. If you get floaters they may take longer but within 24-48 hrs at the latest in 9 years I have had 1 floater. 17 Similarly, the Silicone Oil Study reported corneal abnormalities in 27% of eyes with silicone oil. I guess then there have been no syringes manufactured in the US used in the UK because all US made syringes of any type use a silicone lubricant, not on the needle of course. insulin shots), but should have NEVER been used with a needle meant for injection into an eye. Get ophthalmologist-reviewed tips and information about eye health and preserving your vision. Although the vision in that eye is not clear because of the oil, the blind spots that developed from the detachment are gone. When you freeze a silicone oil-coated syringe and thaw it, silicone particles will then detach and mix with whatever liquid is in the syringe. I'm so glad that I came across this forum! I want to say my central vision is perfect right now, both for reading and for distance. With non-eye related injections (like diabetic insulin delivery), this isn’t a big deal. Seeing 20/200 out of the eye. Has anyone done this as I believe although it has not been suggested it would help me. they asked me pertininent questions relating to possible serious symptoms to which I responded in the negative. It's been 3 months and it's still visible. I am sure I will have injections forever, now. I am so thankful! I mentioned this to my doctor and he looked for it but couldn't find it. This is my second detachment. Used silicone oil so I could fly to Hawaii for planned 65 th birthday (hers) can’t fly with gas bubble which is the way to go otherwise But no flying! Same eye different spot. It's a floater, quite harmless, just a nuisance ...should disperse in a day or 2. I was looking last night and the Bayer information sheet about Eylea says: Each carton includes a sealed blister pack with a sterile 1 ml colourless pre-filled type I glass syringe, containing an extractable volume of 90 microlitre solution for injection, sealed with bromobutyl gray fluoropolymer elastomeric plunger stopper siliconised with silicone oil and a tamper-evident bromobutyl gray elastomeric tip cap that is part of a closure system with Luer lock adaptor. A second surgery involved vitrectomy with silicone oil, cleanup of scar tissue from the first procedure, and more of the laser. The Silicone On The Syringe Inadvertently Mixed With the Avastin® Liquid – And Thus Silicone Particles Were Unknowingly Injected Into The Patient’s Eyes. When I rang the eye hospital after my first one and they explained what it more than likely was, I just accepted it with the following injections and it turned out as nothing to worry about but had it gone on for a week then I too would have contact them (for reassurance if nothing else). It's the first time I have had any for quite a while but used to get them after the first four injections (also had black polo mints). Good news, my vision is perfect, I can read the smallest print, and the distance vision is sharp and clear. Dry MD, Leaking Membrane & cataracts. Silicone oil is sometimes temporarily placed in the vitreous cavity for recurrent retinal detachments in eyes with proliferative vitreoretinopathy, proliferative diabetic retinopathy, cytomegalovirus retinitis, giant retinal tears, and following perforating injuries. I have to look toward the left, right or up or down to move it out of the way. The macular society has info on floaters I think on their website.
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