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[Modification of silicone oil removal via limbus of corneal with aphakia]
Xiao-hua Zhu1, De-yong Jiang, Ling Gong
1Department of Ophthalmology, Second Xiangya Hospital, Central South University, Changsha 410011, China.
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.
