| Phacoemulsification Combined with Transpupillary Silicone Oil Removal Through Posterior Continuous Curvilinear Capsulorhexis. |
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Sang Soo Kim, Dong Hyo Shin |
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Department of Ophthalmology, Maryknoll Hospital, Pusan, Korea. |
| 초음파유화흡입술을 이용한 백내장수술과 함께 시행한 후낭원형절개창을 통한 실리콘기름의 배출 |
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김상수(Sang Soo Kim),신동효(Dong Hyo Shin) |
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| Abstract |
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Silicone oil has been used successfully in vitreoretinal surgery for many years. But complications from the use of silicone oil as a long-acting internal tamponade may develop. They include glaucoma, keratopathy, oil emulsification, and cataract. For patients requiring silicone oil removal and cataract surgery, both operations can be performed in a combined procedure. After phacoemulsification, a posterior continuous curvilinear capsulorhexis(PCCC) is performed, followed by irrigation of balanced salt solution(BSS)into vitreous cavity allowing flow out of silicone oil through the PCCC and intraocular lens(IOL)is implanted into remaining capsular bag. This technique offers faster visual rehabilitation, shorter operation time and reduces the risk of peripheral retinal defect, vitreous hemorrhage that may be caused by traditional oil removal through sclerostomy. |
| Key Words:
Phacoemulsification;Posterior continuous curvilinear capsu-lorhexis;Silicone oil |
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