• Title/Summary/Keyword: following Vitrectomy

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Clinical Results of Silicone Oil Injection following Vitrectomy as a Primary Procedure in Retinal Detachment (망막박리에서 일차수술로 유리체절제술과 실리콘 주입술에 대한 임상결과 분석)

  • Gyeong, Gil-Hyeon;Lee, Moo-Sik;Hwang, Hye-Jeong
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.10 no.12
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    • pp.3919-3924
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    • 2009
  • To evaluate clinical results of silicone oil injection for retinal detachment. The 45 eyes of 44 patients underwent vitrectomy and silicone oil injection from 1999 to 2002. 1.There were no history of previous retinal surgery and ocular trauma. In 24 of the 45 eyes(53%) visual acuity increased and stabilized in 18 of the 45 eyes(40%). 2. 1 of 16 eyes(6.3%) had recurred retinal detachment after silicone oil removal. 3. Final retinal reattachment was achieved in 44 eyes(97%). Postoperative complications were cataract(16 eyes), glaucoma(10 eyes), emulsification of silicone oil(5 eyes), keratopathy(2 eyes) and recurrent retinal detachment(1 eye). These results show that silicone oil injection for primary retinal detachment yields a high rate of anatomic success and the good visual outcome

Intraocular Pressure Changes in the Uneventful Extra-capsular Cataract Extraction and Extra-capsular Cataract Extraction with Vitreous Loss followed by the Anterior Chamber Lens Implantation (계획적 수정체낭외적출술과 합병증이 동반된 수정체낭외적출술후 전방렌즈의 삽입술시 안압의 변화)

  • Park, Young-Hoon;Lee, Kyoo-Won;Hahn, Duk-Kee
    • Journal of Yeungnam Medical Science
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    • v.6 no.1
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    • pp.81-86
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    • 1989
  • These days the posterior chamber lens implantation following the extracapsular cataract extraction has become the standard procedure except those patients who can not take it in one reason or another. In past, however, the anterior chamber lens implantation was popular for sometimes. Even now in those patient complicated by vitreous loss, the anterior chamber lens implantation following anterior vitrectomy is indicated in some cases. We have become interested in the difference of the intraocular pressure change in the patients who underwent the uneventful extra-capsular cataract extraction followed by anterior chamber lens implantation in routine manner and in those whose extra-capsular cataract extraction were complicated by vitreous loss and eventually needed the anterior vitrectomy before the anterior chamber lens implantation. We reviewed the medical records of 15 cases of the former group and 11 cases of the latter one in 1986 through 1988. There was some difference in the postoperative pressure in the two groups, but it was not statistically significant.

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Clinical Results of Silicone Oil Injection following Vitrectomy as a Primary Procedure in Retinal Detachment Patients (망막박리(網膜剝離)에서 일차수술(一次手術)로 유리체절제술(節制術)과 실리콘기름 주입술(注入術)을 시행한 환자(患者)의 임상결과(臨床結果))

  • Gyeong, Gil-Hyeon;Lee, Moo-Sik;Na, Bak-Ju;Kim, Chul-Woung;Hwang, Hye-Jeong
    • Proceedings of the KAIS Fall Conference
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    • 2009.05a
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    • pp.612-615
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    • 2009
  • 본 연구는 망막수술의 기왕력이 없고 고식적인 수술방법으로는 예후가 나쁠 것으로 예상되는 망막박리에서 유리체절제술과 일차적으로 실리콘 기름을 사용했을 경우의 초기적용의 유용성 및 합병증을 알아보고자 망막박리로 유리체절제술과 실리콘기름주입술을 시행하고 6개월 이상 추적관찰이 가능한 환자 44명을 대상으로 연구하였다. 결과는 다음과 같다. 1. 유리체절제술 후 시력이 두 줄 이상 호전된 경우는 45안 중 24안(53%)이었으며, 18안(40%)에서는 시력의 변화가 없었다. 2. 실리콘기름주입술 후 16안에서 평균 6.9개월에 실리콘기름을 제거하였으며 그 중 1안에서 망막박리가 재발되어 실리콘기름 재주입술을 시행하여 망막재유착을 이루었다. 3. 재수술을 포함하여 해부학적인 재유착은 45안 중 44안(97%)에서 이루었다. 4. 실리콘기름주입 후 발생한 합병증은 백내장(16안), 녹내장(10안), 실리콘기름의 유화(5안), 각막병증(2안), 재발성 망막박리 (1안)이었다.

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