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


CONCLUSIONS
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.
Zhu
Xiao-hua
XH
Department of Ophthalmology, Second Xiangya Hospital, Central South University, Changsha 410011, China.
Jiang
De-yong
DY
Gong
Ling
L
D000293:Adolescent; D000328:Adult; D000368:Aged; D001035:Aphakia / Q000601:surgery; D002648:Child; D003315:Cornea / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000379:methods; D011184:Postoperative Period; D012086:Reoperation; D012163:Retinal Detachment / Q000601:surgery*; D012167:Retinal Perforations / Q000601:surgery; D012827:Silicone Oils / Q000008:administration & dosage / Q000627:therapeutic use; D014792:Visual Acuity; D014821:Vitrectomy
D012827:Silicone Oils