Clinical observation of endoscope-assisted silicone oil removal in patients with cornea opacity

Abstract

Objective To discuss the method of silicone oil removal in case of cornea opacity.Methods The clinical data of 26 eyes of 26 patients with severe cornea opacity who had received silicone oil removal were retrospected and analyzed.After local anesthesia,ocular fundus examination,silicone oil removal,air-fluid exchange and other necessary manipulations were carried out assisted by endoscope.The peri-operative retinal situation and complications were recorded.Results Mean follow-up time was (9.4 ± 3.2) months.Of the 26 patients,5 (19.2％) received additional membrane peeling,retinal reattaching and new silicone oil temponade (with heavy silicone oil temponade in 3 eyes),and 6 (23.1％) received additional membrane peeling,and C3F8 temponade intra-operatively.The postoperative complications included early transient hypotension and anterior chamber exudation in 3 eyes (11.5％),and retinal redetachment in 1 eye (3.8％).Conclusion Endoscope-assisted silicone oil removal is simple,safe and effective in patients with cornea opacity. Key words: Endoscope-assisted; Removal, silicone oil; Opacity, cornea