[Modification of silicone oil removal via limbus of corneal with aphakia].

Hunan yi ke da xue xue bao = Hunan yike daxue xuebao = Bulletin of Hunan Medical University Pub Date : 2003-06-01

Xiao-hua Zhu, De-yong Jiang, Ling Gong

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Abstract

Objective: To introduce a simplified method to remove silicone oil via limbus of corneal after previous lensectomy-vitrectomy.

Methods: Fifty-one eyes received the modified procedures to eliminate silicone oil via one pars plana or limbus incision after previous lensectomy-vitrectomy. Local anesthesia was performed with 25G syringe needle through pars plana or corneal limbus infusion and super limbus incisions to eliminate silicone oil.

Results: All operations were primarily successful in eliminating silicone oil. The complications occurred in all the patients with the early low intraocular pressure, in 4 (4/51, 7.8%) eyes with retinal detachment, and in 2 (2/51, 3.9%) eyes with less bleeding at the point of puncture. The visual acuity was significantly improved after the procedure (P < 0.05) in patients with stable retinal reattachment.

Conclusion: The procedure via one pars plana and limbus or limbus incision after previous lensectomy-vitrectomy is useful in removing the silicone oil tamponade in aphakic eyes because of its simplicity, good curative effect, and fewer complications.

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【无晶状体角膜缘硅油去除的改良】。

目的:介绍一种晶状体-玻璃体切除术后经角膜缘去除硅油的简易方法。方法:51只眼在晶状体-玻璃体切除术后，行改良手术，经单面或角膜缘切口去除硅油。局部麻醉采用25G注射器针头经平面部或角膜缘输注及角膜缘超切口消除硅油。结果:所有手术均基本成功去除硅油。所有早期低眼压患者均出现并发症，4只(4/51,7.8%)眼出现视网膜脱离，2只(2/51,3.9%)眼穿刺点出血较少。稳定性视网膜再植患者术后视力明显改善(P < 0.05)。结论:晶状体-玻璃体切除术后经单侧睫状体缘或睫状体缘切口切除无晶状体眼硅油填塞简便、疗效好、并发症少，是一种有效的手术方法。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Hunan yi ke da xue xue bao = Hunan yike daxue xuebao = Bulletin of Hunan Medical University

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