Silicone oil tamponade combined with lensectomy preserving anterior lens capsule.
OBJECTIVE
To investigate the therapeutic effect and indication of silicone oil tamponade combined with lensectomy preserving anterior lens capsule.


METHODS
Silicone oil tamponade combined with lensectomy preserving anterior lens capsule was performed in 33 cases (33 eyes) of high myopia, proliferative vitroretinopathy (PVR) D grade and giant retinal tear (GRT). 10 cases were only eye and 11 cases had harder nucleus of lens. The surgical methods included: 1. smashing lens nucleus and lensectomy preserving complete anterior capsule; 2. vitrectomy and membrane peeling; 3. usage of liquid perfluorocarbin or retinotomy for drainage; 4. silicone oil tamponade; 5. postoperative Nd; YAG laser for anterior capsulectomy.


RESULTS
Follow-up time was 6 months or more in 29 cases. Total retinal reattachment was achieved in 22 cases, macular retinal reattachment in 5 cases. The visual acuity was 20/800 to 20/200 in 13 cases, 20/100 to 20/50 in 12 cases. Visual acuity was significantly improved in GRT group (P < 0.05). Complications included unexpected anterior capsule break intraoperatively, anterior capsule opacity, silicone oil emulsification and liquid perfluorocarbin remaining postoperatively.


CONCLUSIONS
Silicone oil tamponade combined with lensectomy preserving anterior capsule was safe and can reduce the operative complications. The indications included: 1. GRT complicated with high myopia; 2. advanced PVR cases complicated with high myopia in which silicone oil must be used; 3. severe lens opacity cases in which silicone oil must be used; 4. complex retinal detachment of only eye.
Lu
L
L
Zhongshan Ophthalmic Center, Sun Yat-sen University of Medical Sciences, Guangzhou 510060, China.
Yang
J
J
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D005466:Fluorocarbons; D005500:Follow-Up Studies; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D007908:Lens, Crystalline / Q000601:surgery; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000150:complications / Q000601:surgery*; D012163:Retinal Detachment / Q000209:etiology / Q000601:surgery; D012167:Retinal Perforations / Q000209:etiology / Q000601:surgery*; D012827:Silicone Oils / Q000627:therapeutic use*; D014792:Visual Acuity; D018630:Vitreoretinopathy, Proliferative / Q000209:etiology / Q000601:surgery*
D005466:Fluorocarbons; D012827:Silicone Oils