23 gauge transkonjonktival sistem ile pasif silikon alınması

Objective & Hypothesis:Purpose: To introduce the results of passive removal of 1000 centistokes (cs) silicone oil with 23 gauge transconjunctival system.

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Key Findings & Data:Materials and Methods: Ninety-one eyes of 91 patients were studied retrospectively. 23-gauge trocar cannulas were en- tered from the pars plana in two steps and waited for removal of silicone oil from the trocar cannulas passively.

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Conclusion & Impact:Postoperative complications are rare.

🔬Design:Research Article

📍Scope:Comprehensive Sample

⚙️Variables:Domain Parameters

Abstract

Purpose: To introduce the results of passive removal of 1000 centistokes (cs) silicone oil with 23 gauge transconjunctival system. Materials and Methods: Ninety-one eyes of 91 patients were studied retrospectively. 23-gauge trocar cannulas were en- tered from the pars plana in two steps and waited for removal of silicone oil from the trocar cannulas passively. The reason for the primary surgery, preoperative and postoperative visual acuities and intraocular pressures, duration of silicone oil removal, need for peroperative suture, additional surgical procedures, complications and postoperative follow-up time were recorded. Results: Mean follow-up time was 15.9±6.1 months. 37 eyes (40.6%) were underwent additional operations as phacoemul- sification, epiretinal membrane peeling and/or endolaser during surgery. Mean duration of silicone oil removal was 7.1±0.5 minutes. Mean intraocular pressure decreased significantly at all visits postoperatively; and it was measured as 10.9±2.2 mmHg at the first day, 15.9±5.4 mmHg at the first month and 14.9±2.2 mmHg at the 6th month. 26 eyes (28.5%) peropera- tively needed at least one suture. Postoperatively, visual acuity increased in 35 eyes (38.4%). Only in one eye postoperative serious hypotonia (intraocular pressure<5 mmHg) was recorded. 6 eyes (6.6%) were reoperated due to the redetachment of the retina after silicone oil removal. Conclusion: Removal of 1000 cs silicone oil with 23 gauge transconjunctival system is effective, fast, safe and comfortable. Postoperative complications are rare.

Özet

Amaç: 23 gauge (g) transkonjonktival sistem ile pasif olarak 1000 sentistokes (cs) silikon yağı geri alınmasının sonuçlarını sunmak. Gereç ve Yöntem: 91 hastanın 91 gözü geriye dönük olarak incelendi. 23 g trokar kanülleri pars planadan yerleştirilerek, silikon yağının trokar kanüllerden pasif olarak geri alınması beklendi. Primer cerrahinin sebebi, ameliyat öncesi ve ame- liyat sonrası görme keskinlikleri ve göz içi basınçları (GİB), silikon yağının geri alınma süresi, peroperatif sütür ihtiyacı, uygulanan ek cerrahi girişimler, komplikasyonlar ve ameliyat sonrası izlem süresi kaydedildi. Bulgular: Ortalama takip süresi 15.9±6.1 aydı. 37 göze (%40.6) ek cerrahi girişim olarak, fakoemülsifikasyon, epireti- nal membran soyulması ve/veya endolazer uygulandı. Ortalama silikon geri alınma süresi 7.1±0.5 dk idi. Ortalama GİB, ameliyat sonrası tüm vizitlerde ameliyat öncesi değere göre anlamlı olarak düşük izlendi; GİB, ameliyat sonrası 1. günde 10.9±2.2 mmHg, 1. ayda 15.9±5.4 mmHg ve 6. ayda 14.9±2.2 mmHg idi. 26 gözde (%28.5) peroperatif en az bir sütür ihtiyacı oldu. 35 gözde (38.4) ameliyat sonrası görme artışı izlendi. Sadece bir gözde ameliyat sonrası ciddi hipotoni (GİB<5 mmHg) izlenirken, 6 göze (%6.6) silikon alınması sonrası nüks retina dekolmanı nedeniyle cerrahi uygulandı. Sonuç: 23 gauge transkonjonktival sistem ile 1000cs silikon yağı geri alınması, etkili, hızlı, güvenli ve komforlu bir yöntem- dir. Ameliyat sonrası komplikasyonlar nadirdir.

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Cite This Article

ÖZDEK, Ş., GEDİZ, B. Ş., YAYLACIOĞLU, F. (2013). 23 gauge transkonjonktival sistem ile pasif silikon alınması. Retina-Vitreus, Cilt: 21 - Sayı: 2, 105–108. https://ajindex.com/articles/305106

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