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Efficacy and safety of active silicone oil removal through a 23-gauge transconjunctival cannula using an external vacuum pump

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International Journal of Ophthalmology(English edition) 2015年第2期8卷 347-352页

作者： Hyun Ju Oh Woohyok Chang Min Sagong Department of Ophthalmology Yeungnam University College of Medicine

AIM: To evaluate the efficacy and safety of active removal of silicone oil with low and high viscosity through a 23-gauge transconjunctival cannula using an external vacuum ***: This study was conducted as a prospective, interventional case series. A total of 22 eyes of 21 patients [1000 centistokes(c St): 17 eyes, 5700 c St:5 eyes] were included in this study. All patients underwent active silicone oil removal via the entire lumen of a 23-gauge microcannula with suction pressure of a650-700 mm Hg vacuum using an external vacuum pump. A tubing adaptor from the Total Plus Pak誖(Alcon,Fort Worth, USA) was used to join the microcannula and silicone vacuum tube connected to an external vacuum pump. Main outcome measures were mean removal time,changes of intraocular pressure(IOP) and visual acuity,and intraoperative and postoperative ***: Mean removal time(min) was 1.49±0.43 for1000 c St and 7. 12 ± 1. 27 for 5700 c St. The IOP was18.57±7.48 mm Hg at baseline, 11.68 ±4.55 mm Hg at day1 postoperatively(P active removal of silicone oil through a 23-gauge cannula using an external vacuum pump is fast, effective, and safe as well as economical for silicone oil with both low and high viscosity in all eyes with pseudophakia, aphakia, or phakia.

关键词： active removal external vacuum pump silicone oil

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A modified approach to actively remove high viscosity silicone oil through 23-gauge cannula

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International Journal of Ophthalmology(English edition) 2016年第9期9卷 1294-1298页

作者： Zong-Ming Song Xu-Ting Hu Lei Wang Zhi-Xiang Hu Pei-Quan Zhao Ding Chen Eye Hospital Wenzhou Medical University Wenzhou 325027 Zhejiang Province China Xin Hua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine Shanghai 200092 China

AIM：To report a simple approach to actively remove high viscosity silicone oil through a 23-gauge cannula via pars ***：Forty-eight eyes of 48 patients underwent silicone oil（5700 centistokes） removal（SOR） were enrolled.A section of blood transfusion set was prepared to connect a standard 23-gauge cannula and vitrectomy *** oil was removed with suction of500-mm Hg vacuum through the *** outcome measures were SOR duration,number of sutured sites,intraocular pressure（IOP）,best-corrected visual acuity（BCVA）,and ***：Silicone oil was successfully removed in all *** mean SOR time was 5.70±0.85 *** eyes（18.75%） needed suture partial *** intraoperative complications were *** hypotony（≤8 mm Hg） was seen in 3 eyes（6.25%） on postoperative day 1,but all resolved within *** reattachment was achieved in all cases and no other postoperative complications were noted during 3-month *** at the final visit improved or stabilized in all patients comparing to the preoperative ***：active removal of high viscosity silicone oil through a 23-gauge instrument cannula jointed with blood transfusion set is a practical and reliable technique when considering two sides of efficacy and safety.

关键词： silicone oil active removal 23-gauge pars plana

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