简化的无晶状体眼内硅油取出术 |
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摘 要: |
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关 键 词: | 无晶状体眼 硅油取出术 并发症 玻璃体切除术 |
Modification of silicone oil removal via limbus of corneal with aphakia] |
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Authors: | Xiao-hua Zhu De-yong Jiang Ling Gong |
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Institution: | Department of Ophthalmology, Second Xiangya Hospital, Central South University, Changsha 410011, China. |
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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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