Consensus on the Treatment of Severe Ocular Trauma and Silicone Oil–Dependent Eyes Using Foldable Capsular Vitreous Body

Hua Yan*, Xiaofeng Lin, Wenbin Wei, Gezhi Xu, Ferenc Kuhn, Yuntao Hu, Dawei Sun, Weihong Yu, Rui Jiang, Peiquan Zhao, Yanming Huang, Jinhong Cai, Nan Wu, Zhen Chen, Jinchen Jia, Shenwen Liu, Huping Song, Jianqiao Li, Xiangyu Shi, Aijun DengUmit Beden, Petros Petrou, Van Overdam, Shalva Skihirtladze, Slawomir Cisiecki, Levent Karabas, Chongde Long, Lifeng Qiao, Zhenquan Zhao, Jian Ma, Sujuan Ji, Yanlai Zhang, Gongqiang Yuan, Qihua Xu, Xiangzhong Xu, Xuemin Tian, Haokun Zhang, Siyue Chen

*Corresponding author for this work

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Aim: 

To establish evidence-based guidelines for the application of the foldable capsular vitreous body (FCVB) in managing severe ocular trauma and silicone oil–dependent eyes. 

Methods: 

We conducted a comprehensive search across multiple databases, screening, extracting, and evaluating research evidence. Experts in ocular trauma and vitreoretinal surgery provided practical insights and formulated key questions. Using the Delphi method, the working group identified seven clinical issues and established outcome indicators. Seven recommendations were developed, reviewed, and approved by a multinational consensus expert group. 

Results: 

This consensus presents seven evidence-based recommendations for FCVB implantation, emphasizing the importance of patient assessment, FCVB model selection, and intraoperative and postoperative management. Each recommendation is supported by detailed explanations and evidence, highlighting the potential benefits of FCVB as an alternative to traditional treatments for severe ocular trauma and silicone oil–dependent eyes, including reduced complications and improved visual outcomes.

Conclusions: 

On the basis of existing literature and expert consensus, this consensus provides evidence-based guidance for FCVB application in treating severe ocular trauma and silicone oil–dependent eyes. The recommendations serve as a valuable resource for ophthalmologists, facilitating more effective and safer treatment options for patients.

Original languageEnglish
Article numbere70041
JournalJournal of Evidence-Based Medicine
Volume18
Issue number2
DOIs
Publication statusPublished - Jun 2025

Bibliographical note

Publisher Copyright:
© 2025 The Author(s). Journal of Evidence-Based Medicine published by Chinese Cochrane Center, West China Hospital of Sichuan University and John Wiley & Sons Australia, Ltd.

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