NR 1-2/2003

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Ocena wyników operacji zaćmy w oczach po
usunięciu oleju silikonowego
The evaluation of the results of cataract surgery
in eyes after silicone oil removal
Ewa Bilińska, Jerzy Nawrocki
Z Katedry i Kliniki Chorób Oczu Akademii Medycznej w Łodzi
Kierownik: dr hab. n. med. Wojciech Omulecki |
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| Summary: |
Purpose: To evaluate the results of
cataract surgery in eyes after silicone oil removal and comparison of surgical technics.
Material and methods: eighty - four eyes of 80 patients underwent
cataract extraction and IOL implantation after vitrectomy with silicone oil, after its
removal. In 50 eyes of group A cataract surgery was performed using the ECCE procedure, in
20 eyes of group B - phacoemulsification was done and in 14 eyes of group C cataract
surgery was performed simultaneusly with silicone oil removal. Ten eyes of the control
group K underwent cataract extraction without IOL implantation. The follow - up was 15,5?11,2
months.
Results: Visual acuity of 6/60 or better was achieved in 65% of eyes.
Statistically significant improvement in visual acuity was observed after cataract
surgery, compared to the results after vitrectomy in the study group and in the control
group. The most frequent complication was posterior capsule opacification, which occured
in 47 eyes (54,6%).
Conclusions: Cataract surgery and IOL implantation in eyes after
vitrectomy with silicone oil is safe and achieved visual acuity is similar or better, than
before cataract formation. The usefulness of combined cataract surgery and silicone oil
removal requires further studies. |
| Słowa kluczowe: |
operacja zaćmy, witrektomia, usunięcie oleju silikonowego,
soczewka wewnątrzgałkowa. |
| Key words: |
cataract surgery, vitrectomy, silicone oil removal,
intraocular lens.nses |
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