Experimental measure of retinal impact force resulting from intraocular foreign body dropped onto retina through media of differing viscosity

• Published in: Clinical & experimental ophthalmology Vol. 41; no. 5; pp. 471 - 475
• Main Authors: Ernst, Benjamin J, Velez-Montoya, Raul, Kujundzic, Damir, Kujundzic, Elmira, Olson, Jeffrey L
• Format: Journal Article
• Language: English
• Published: Australia Blackwell Publishing Ltd 01-07-2013; Wiley Subscription Services, Inc
• Subjects: Acetates; Drug Combinations; Eye Foreign Bodies - diagnosis; Eye Injuries, Penetrating - diagnosis; Fluorocarbons - chemistry; Gravitation; Humans; impact force; intraocular foreign body; Minerals; Models, Biological; retained foreign body; Retina; Retina - injuries; Silicone Oils - chemistry; Sodium Chloride; Specific Gravity; Transducers, Pressure; Viscosity; Viscosupplements - chemistry; vitrectomy
• ISSN: 1442-6404; 1442-9071
• DOI: 10.1111/ceo.12036

Background
To evaluate and compare the perfluorocarbon liquid, silicone oil, and viscoelastic against standard saline, in their ability to dampen the impact force of a foreign body, dropped within the eye. In an experimental surgical model in where cohesive and adhesive forces of the substances are not enough to float heavy‐than‐water foreign bodies.
Methods
A model of ophthalmic surgery was constructed. A BB pellet was dropped from 24 mm onto a force transducer through four different fluids: balanced salt solution, perfluoro‐n‐octane, viscoelastic, and silicone oil. The impact energy (force) for each case was measured and recorded by the force transducer. The mean force of impact for each fluid was compared using the Student t‐test.
Results
Silicone oil resulted in the lowest force of impact. Both silicone oil and viscoelastic dampened the impact an order of magnitude more than perfluoro‐n‐octane and balanced salt solution.
Conclusions
Silicone oil and viscoelastic cushioned the force from a dropped BB. They may be useful adjuncts to prevent iatrogenic retinal injury during vitrectomy for intraocular foreign body removal.