23게이지와 20게이지의 유리체절제술 시스템을 이용한 실리콘기름 제거술의 비교

• 영문명: Comparison of Silicone Oil Removal Using 23-Gauge and 20-Gauge System for Pars Plana Vitrectomy
• 발행기관: 대한안과학회
• 저자명: 장동호 김응석 유승영 곽형우,Dong Ho Chang, M.D., Eung Suk Kim, M.D., Seung Young Yu, M.D., Hyung Woo Kwak, M.D.
• 간행물 정보: 『대한안과학회지』Ophthalmological Society,volume49,number12, 1929~1934쪽, 전체 6쪽
• 주제분류: 의약학 > 기타의약학
• 파일형태: PDF
• 발행일자: 2008.12.15

영문 초록

Purpose: The purpose of this study was to compare the clinical results of silicone oil removal using a 23-gauge transconjunctival sutureless pars plana vitrectomy (TSVS) and the 20-gauge pars plana vitrectomy (PPV) system and to evaluate the clinical value of 23-guage PPV system in silicone oil removal. Methods: Eight eyes of 8 patients who received removal of silicone oil using the 23-gauge TSVS and 6 eyes of 6 patients using the 20-gauge PPV system were included in this study. The total operation time, silicone oil removal time, intraoperative and postoperative advantages, shortcomings, and complications were compared. Results: The operation time and silicone oil removal time were 44.6±14.1 minutes, 42.7±10.5 minutes and 2.0±0.9 min/cc, 1.4±0.6 min/cc when silicone oil removal was performed using 23-gauge TSVS and 20-gauge PPV system, respectively. They were not significantly different (p=0.80, 0.22). Attention for the complete removal of the oil is necessary because of the intraocular trocar length when the 23-gauge TSVS is used. There were no complications except transient hypotonies (2 eyes), transient hypertonies (2 eyes) in the 23-gauge system and transient hypertonies (2 eyes) in the 20-gauge system. Conclusions: The operation time for silicone oil removal using the 23-gauge TSVS was not different than that of the 20-gauge PPV system and can be performed safely without any particular complications. Care and precautionary measures are needed in order to remove silicone oil completely.

키워드

20-gauge pars plana vitrectomy (PPV) system, 23-gauge transconjunctival sutureless pars plana vitrectomy (TSVS), Silicone oil removal