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Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México

2009, Number 3

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Rev Mex Oftalmol 2009; 83 (3)

Complicaciones postoperatorias por utilización de aceite de silicona en cirugía vitreorretiniana

Hernández-Salazar L, Levine-Berebichez A, Celis-Suazo B, Rojas-Juárez S, García-Franco R, Ramírez-Estudillo A, Quezada-Torres E, Aguirre-González AF

Language: Spanish
References: 15
Page: 171-175
PDF size: 108.06 Kb.


ABSTRACT

Purpose: To describe the complications in patients underwent vitrectomy and silicone oil.
Design: Prospective, longitudinal, observational, descriptive, case series.
Material and methods: We include patients underwent vitrectomy and silicone oil of 5000 centistokes from April to October 2005. All patients completely examination was done pre and postoperatory at first day, first week and 1 to 6 month, evaluate best corrected visual acuity, intraocular pressure (IOP) (elevated ›21 mmHg, hypotony ‹5mmHg), keratopathy, emulsification, cataracts and posterior pole.
Results: We include 48 eyes of 48 patients. Twenty four women and 24 men, age average was 50 years. Principal diagnosis was advanced proliferative diabetic retinopathy in 28 patients (59%). The best corrected visual acuity preoperatory was counter finger and at third month postoperatory was 20/400. Twenty two patients (45%) had elevated IOP. Of 36 phakic patients, 15 (41.6%) developed cataract. Four patients (8.3%) had anterior chamber oil bubble. Nine patients (18.75%) had recurrent detachments.
Conclusions: Complications are temporary, treatment medical or surgically, with a good prognosis.


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