NR 3-4/2002
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Wpływ usunięcia oleju silikonowego na ciśnienie
wewnątrzgałkowe w oczach po witrektomii
The influence of silicone oil removal on intraocular
pressure
Agata Wesołek-Czernik
Z Katedry i Kliniki Chorób Oczu Akademii Medycznej w Łodzi
Kierownik: dr hab. n. med. Wojciech Omulecki |
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| Summary: |
Purpose: The aim of this study was to
evaluate the influence of silicone oil removal on intraocular pressure.
Material and method: Our material consists of 98 patients ( 104 eyes ),
who underwent vitrectomy with silicone oil tamponade. Sixteen eyes in this group were
aphakic before vitrectomy. The mean duration of silicone-oil tamponade was 8. 8 months. We
examined and compared intraocular pressure in all cases before vitrectomy, during
tamponade and after silicone oil removal.
Results: The increased intraocular pressure (>22 mmHg) was found in 27
eyes (seven of them were aphakic) during tamponade. We had to remove silicone oil due to
glaucoma in 6 eyes (three of them were aphakic ). In 9 eyes (four aphakic) the intraocular
pressure was higher than 22 mmHg after silicone oil removal. Seven patients required
additional topical medication and 2 patients were qualified for operation -
trabeculectomy. Hypotony (<10 mmHg) was observed in 11eyes, and it coexisted with
retinal redetachment in 4 cases.
Conclusions: The increased intraocular pressure is a frequent
complication of silicone oil tamponade, and it normalizes after silicone oil removal in
most of these cases. |
| Słowa kluczowe: |
witrektomia z tamponadą olejem silikonowym, jaskra wtórna,
usunięcie oleju silikonowego. |
| Key words: |
vitrectomy with silicone oil tamponade, secondary glaucoma,
silicone oil removal. |
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