CZECH MEDICAL ASSOCIATION J. Ev. PURKYNĚ | |
Journals - Article | |
Česky / Czech version | Čs. Oftal., 58, 2002, No. 1, p. 26-29 |
Cataract Surgery with Silicone Oil and its Elimination by Posterior Capsulorhexy Ernest J., Rejmont L., Němec P., Pašta J. Oční oddělení Ústřední vojenské nemocnice, Praha, primář doc. MUDr. J. Pašta, CSc. |
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Summary: Elimination of silicone oil after a previous vitreoretinal operation is a routine
procedure. This procedure is frequently associated with a complicated cataract
operation. The standard procedure of oil elimination in one or two stages assumes
repeatedsclerotomy.Contemporaryfindingsandthe authors´ experienceindicate
the risk of the site of sclerotomy. The authors draw attention to a modification of
silicone oil elimination while operating the cataract by posterior capsulorhexy
which makes it possible to remove the intraocular tamponade without sclerotomy
and to implement at the same time peroperative control of the posterior pole.
- the technique of elimination of silicone via posterior capsulorhexy makes
a perfect peroperative check-up of the state of the posterior eye possible
- it makes it possible to leave the silicone in the eye if it is necessary to prolong
the tamponade of the retina
- it reduces the risk of complications of further sclerotomy
- it makes reconstruction of the eye by a single operation possible and reduces
thus the traumatization of the eye and the patient.
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