“…One might be mechanical effects, such as the motion of the eye during saccades 12 , 19 and another factor might be the recently described mechanism of the break-up of silicone oil 11 , 13 , 20 , 21 that allows increased adherence to the ocular tissue, thus promoting the formation of emulsion droplets. Biological surfactants derived from ocular tissue and blood (eg, fibrinogen, fibrin, γ-globulin, very-low-density-lipoprotein, and alpha-1-glycoprotein), 22 the amphiphilic properties of the retinal tissue itself, 23 as well as the presence of lipophilic substances increasingly contaminating the silicone oil; these are all implicated in influencing the rate of emulsification.…”