Endophthalmitis in silicone oil-filled eye: A case report

BACKGROUND Endophthalmitis occurring in silicone oil-filled eyes is a very rare occurrence,with reported incidence rates ranging between 0.07%and 0.039%.Traditional methods of management of infectious endophthalmitis include the removal of silicone oil,washout of the vitreous cavity,administration of intravitreal antibiotics,and reinjection of silicone oil.CASE SUMMARY Herein,we report the case of a 39-year-old man with unilateral endophthalmitis after pars plana vitrectomy and silicone oil tamponade.Intravitreal injections of full-dose antibiotics and anterior chamber washout were used to treat the patient.No signs of retinal toxicity were observed during the follow-up period.CONCLUSION Intravitreal full-dose antibiotic injections and anterior chamber washout are promising alternatives to traditional therapies for endophthalmitis in silicone oilfilled eyes.

Non-contact wide-field viewing system-assisted scleral buckling surgery for retinal detachment in silicone oilfilled eyes

AIM:To evaluate scleral buckling(SB)surgery using a noncontact wide-field viewing system and 23-gauge intraocular illumination for the treatment of rhegmatogenous retinal detachment in silicone oil(SO)-filled eyes.METHODS:Totally 9 patients(9 eyes)with retinal detachment in SO-filled eyes were retrospectively analyzed.All patients underwent non-contact wide-field viewing system-assisted buckling surgery with 23-gauge intraocular illumination.SO was removed at an appropriate time based on recovery.The patients were followed up for at least 3mo after SO removal.Retinal reattachment,complications,visual acuity and intraocular pressure(IOP)before and after surgery were observed.RESULTS:Patients were followed up for a mean of 8.22mo(3-22mo)after SO removal.All patients had retinal reattachment.At the final follow-up,visual acuity showed improvement for 8 patients,and no change for 1 patient.The IOP was high in 3 patients before surgery,but it stabilized after treatment;it was not affected in the other patients.None of the patients had infections,hemorrhage,anterior ischemia,or any other complication.CONCLUSION:This new non-contact wide-field viewing system-assisted SB surgery with 23-gauge intraocular illumination is effective and safe for retinal detachment in SO-filled eyes.

The step-by-step CFD design method of pressure-compensating emitter

In order to improve the design and research and development (R & D) efficiency of the pressure- compensating drip irrigation emitter,a step-by-step computational fluid dynamics (CFD) design method was proposed based on CFD theory combined with the finite element method. By analyzing its hydraulic performance through the step-by-step CFD method,the prediction pressure-flow curve(p-Q curve) of the pressure-compensating emitter was obtained. Then the test samples were fabricated using rapid prototype and manufacturing(RP & M) technology. The emitters' hydraulic performance experiment was carried out and the experimental p-Q curve was obtained. The step-by-step CFD design method was verified by comparing the experimental p-Q curve with the prediction values,which showed that the prediction values met the experimental results well within the normal range of the emitter's working pressure. On this basis,the effect of the emitter structure on its pressure-compensating performance was studied,which showed that the height of the pressure-compensating region had significant effects on the emitter's pressure-compensating performance. Series products of the pressure-compensating emitter could be designed by changing the region's height.

Design and friction loss study of full-ocean depth oil-filled direct current motor

In this study,we designed an oil-filled motor that can be used at full-ocean depths,and investigated the friction losses caused by the rotating seal and the properties of the oil.The direct current(DC)motor is encapsulated in an aluminum alloy housing.A rubber diaphragm is used to balance the internal and external pressures so that the motor can work on the seabed without pressure difference.To study the resistance caused by the rotating seal,a numerical model of the Glyd ring and the rotating shaft was established.Results from a rotational torque test agreed with those from numerical analysis.The kinematic viscosity of four oils was measured at 1-25℃.Oil bath experiments in an incubator showed that the resistance from oil is highly correlated with its dynamic viscosity.Dimethicone appears to be very suitable as an insulating oil for these motors.The working characteristics of the motor were tested in a high-pressure chamber.The results showed that the motor needs to overcome higher oil resistance under higher pressure.A prototype of a pressure-adaptive motor was designed and applied successfully in the hadal zone at a water depth of more than 10000 m.