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Peritoneal reaction to liquid silicone: An experimental study

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Abstract

Silicone oils (polymethylsiloxanes) with different viscosities (200, 1000 and 5000 cSt) and a fluorinated silicone oil (5000 cSt) were injected into the peritoneum of CBA mice. Three weeks after the injection, peritoneal exudates were obtained and investigated using light and electron microscopy. For each silicone-oil type, light-microscopic examination revealed the presence of abundant extracellular lipid-like droplets and a dense cellular infiltrate composed of macrophages, lymphocytes and multinucleated giant cells. Lipid-like inclusions were observed in macrophages and multinucleated giant cells. These intracellular inclusions were revealed to be membrane bound by transmission electron microscopy. We observed no differences with respect to the amount of phagocytotic activity for the different silicone-oil types tested. Purified silicone oils of lower viscosity (OP 200 and OP 1000) resulted in the mildest chronic inflammatory reaction. Our results suggest that emulsification, phagocytosis and granulomatous inflammation are associated with intraocular silicone-oil implantation. The question of which properties would make a silicone oil most suitable for clinical use requires further investigation.

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References

  • Blodi FC (1971) Injection and impregnation of liquid silicone into ocular tissues. Am J Ophthalmol 71:1044–1051

    Google Scholar 

  • Cibis PA, Becker B, Okun E, Canaan S (1962) The use of liquid silicone in retinal detachment surgery. Arch Ophthalmol 68:590–599

    Google Scholar 

  • Cockerham WD, Schepens CL, Freeman HM (1969) Silicone injection in retinal detachment. Mod Probl Ophthalmol 8:525–540

    Google Scholar 

  • Failer J, Faulborn J, Erb P (1984) Die Phagozytose von Silikon-Oelen unterschiedlicher Viskosität durch Peritoneal-Makrophagen der Maus. Klin Monatsbl Augenheilkd 184: 450–452

    Google Scholar 

  • Faulborn J, Bowald S (1986) Silikonöl in epiretinalen Membranen 3–4 Monaten nach Implantation: Mikroskopische Befunde in 2 Fällen. Klin Monatsbl Augenheilkd 188:133–134

    Google Scholar 

  • Gabel VP, Kampik A, Spiegel D, Gabel C (1985) Silicone oil with high gravidity for intraocular use. Proceedings of the International Symposium on Vitreoretinal Surgery, Vienna, 13–15 May 1985

  • Gonvers M, Hornung JP, de Courten C (1986) The effect of liquid silicone on the rabbit retina. Arch Ophthalmol 104:1057–1062

    Google Scholar 

  • Honda Y, Ueno S, Muira M, Yamagudi H (1986) Silicone oil particles trapped in the subretinal space: Complications after substitution of the vitreous. Ophthalmologica 192:1–5

    Google Scholar 

  • Karfik V, Smahel J (1968) Subcutaneous silicone granuloma. Acta Chir Plast 10: 328–332

    Google Scholar 

  • Kirchhof B, Tavakolian U, Paulmann H, Heimann K (1986) Histopathological findings in eyes after silicone oil injection. Graefes Arch Clin Exp Ophthalmol 224: 34–37

    Google Scholar 

  • Laroche L, Pavlakis C, Saraux H, Orcel L (1983) Ocular findings following intravitreal silicone injection. Arch Ophthalmol 101:1422–1425

    Google Scholar 

  • Leaver PK, Grey RHB, Garner A (1979) Silicone oil injection in the treatment of massive preretinal retraction. II. Late complications in 93 eyes. Br J Ophthalmol 63:361–367

    Google Scholar 

  • Liesenhoff H, Rentsch FJ, Rohen JW, Rahäuser H (1972) Beobachtungen nach Injektion von Silikonöl in den Glaskörperraum des Kaninchens und elektronenmikroskopische Untersuchungen der Netzhaut. Mod Probl Ophthalmol 10:55–59

    Google Scholar 

  • Mukai N, Lee PF, Schepens CL (1972) Intravitreous injection of silicone. An experimental study. Ann Ophthalmol 4:273–287

    Google Scholar 

  • Ni C, Wang W, Albert DM, Schepens CL (1983) Intravenous silicone injection: Histopathologic findings in a human eye after 12 years. Arch Ophthalmol 101:1399–1401

    Google Scholar 

  • Ober RR, Blanks JC, Ogden TE, Pickford M, Munchler DS, Ryan SJ (1983) Experimental retinal tolerance to liquid silicone. Retina 3:77–84

    Google Scholar 

  • Rentsch FJ, Atzler P, Liesenhoff H (1978) Histologische und elektronenmikroskopische Untersuchungen an einem menschlichen Auge nach mehrjähriger intravitrealer Silikonimplantation. In: Jaeger W (ed) Kunststoffimplantate in der Ophthalmologie. Bergmann, München, pp 70–74

    Google Scholar 

  • Stefani F (1983) Gewebsreaktionen auf nieder- und hochvisköses Silikonöl. Proceedings of a Congress of the Bavarian Ophthalmology Society, Munich, 30 October to 1 November, 1983

  • Sugar HS, Okamura ID (1976) Ocular findings 6 years after intravitreal silicone injection. Arch Ophthalmol 94:612–615

    Google Scholar 

  • Watzke RC (1967) Silicone retinopoiesis for retinal detachment. Arch Ophthalmol 77: 185–196

    Google Scholar 

  • Živojnović R, Mertens DAE, Peperkamp E (1982) Das flüssige Silikon in der Amotiochirurgie. II. Bericht über 280 Fälle — weitere Entwicklung der Technik. Klin Monatsbl Augenheilkd 181:444–452

    Google Scholar 

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Champion, R., Faulborn, J., Bowald, S. et al. Peritoneal reaction to liquid silicone: An experimental study. Graefe's Arch Clin Exp Ophthalmol 225, 141–145 (1987). https://doi.org/10.1007/BF02160347

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  • DOI: https://doi.org/10.1007/BF02160347

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