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超声乳化联合硅油经瞳孔引流术:结果与并发症

Combined phacoemulsification and transpupillary drainage of silicone oil: results and complications.

作者信息

Assi A, Woodruff S, Gotzaridis E, Bunce C, Sullivan P

机构信息

Moorfields Eye Hospital, City Road, London EC1V 2PD, UK.

出版信息

Br J Ophthalmol. 2001 Aug;85(8):942-5. doi: 10.1136/bjo.85.8.942.

Abstract

AIM

To review retrospectively 74 consecutive cases of combined phacoemulsification and transpupillary drainage of silicone oil.

METHODS

Candidate patients for intraocular silicone oil removal and cataract extraction underwent combined phacoemulsification and transpupillary drainage of silicone oil through a planned posterior capsulorrhexis and without the use of a pars plana infusion line.

RESULTS

The retina remained attached in 59 (79.7%) patients postoperatively. In this success group, the postoperative visual acuity improved in 42 (71.2%) patients. There was no association between age, duration of silicone oil tamponade, preoperative diagnosis, macular status or number and nature of previous surgery, and the incidence of redetachment following silicone oil removal.

CONCLUSION

Combined phacoemulsification and transpupillary drainage of silicone oil is a safe and reliable technique that offers the main advantage of diminished surgical trauma.

摘要

目的

回顾性分析连续74例白内障超声乳化吸除联合经瞳孔硅油引流术的病例。

方法

拟行眼内硅油取出及白内障摘除术的患者,经计划行后囊连续环形撕囊,不使用睫状体平坦部灌注管,行白内障超声乳化吸除联合经瞳孔硅油引流术。

结果

术后59例(79.7%)患者视网膜保持附着。在这一成功组中,42例(71.2%)患者术后视力提高。年龄、硅油填充时间、术前诊断、黄斑状态或既往手术次数及性质与硅油取出术后视网膜再脱离的发生率之间无相关性。

结论

白内障超声乳化吸除联合经瞳孔硅油引流术是一种安全可靠的技术,其主要优点是手术创伤小。

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Phacoemulsification and silicone oil removal through a single corneal incision.
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Cataract surgery combined with transpupillary silicone oil removal through planned posterior capsulotomy.
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