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Safety and efficacy of transpupillary silicone oil removal in combination with micro-incision phacoemulsification cataract surgery: comparison with 23-gauge approach.
- Source :
-
BMC ophthalmology [BMC Ophthalmol] 2018 Aug 15; Vol. 18 (1), pp. 200. Date of Electronic Publication: 2018 Aug 15. - Publication Year :
- 2018
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Abstract
- Background: To evaluate safety and efficacy of transpupillary silicone oil removal combined with micro-incision phacoemulsification cataract surgery, and to compare results of transpupillary with 23-gauge three-port vitrectomy approach.<br />Methods: Consecutive cases that underwent silicone oil removal using either transpupillary or three-port approach in combination with micro-incision phacoemulsification cataract surgery were retrospectively reviewed. The main outcome measures were postoperative detachment rate, silicone oil residuals, best corrected visual acuity (BCVA) and intraocular pressure (IOP).<br />Results: A total of 64 cases were included, 19 in transpupillary and 45 in three-port. Postoperative detachment rate within 3 months in transpupillary versus three-port was 15.8% versus 4.4% (p = 0.14), Silicone oil residuals was 7.4 ± 3.2% versus 7.1 ± 2.8% (transpupillary vs. three-port, p = 0.71). Preoperative versus postoperative BCVA (logMAR) was 1.49 ± 0.61 versus 1.42 ± 0.61 in transpupillary approach (p = 0.28) and 1.53 ± 0.48 versus 1.45 ± 0.57 in three-port approach (p = 0.11). Transpupillary approach resulted in lower IOP at postoperative day 2 (12.2 ± 2.3 mmHg vs. 13.5 ± 2.2 mmHg, p < 0.05), while postoperative follow-up at 1 month revealed no significant difference (p = 0.21).<br />Conclusions: Transpupillary silicone oil removal combined with micro-incision phacoemulsification cataract surgery is less invasive and can be an alternative in some circumstances.
- Subjects :
- Female
Follow-Up Studies
Humans
Male
Middle Aged
Pupil
Reoperation
Retrospective Studies
Treatment Outcome
Visual Acuity
Drainage methods
Endotamponade adverse effects
Microsurgery methods
Phacoemulsification methods
Postoperative Complications surgery
Silicone Oils adverse effects
Vitreoretinal Surgery adverse effects
Subjects
Details
- Language :
- English
- ISSN :
- 1471-2415
- Volume :
- 18
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- BMC ophthalmology
- Publication Type :
- Academic Journal
- Accession number :
- 30111306
- Full Text :
- https://doi.org/10.1186/s12886-018-0878-z