Retinal detachment surgery with silicone oil injection in transconjunctival sutureless 23-gauge vitrectomy

Arquivos Brasileiros de Oftalmologia

Rubens Camargo Siqueira¹  Aline Degasperi Cote Gil²  Rodrigo Jorge² 

[1] ,Hospital do Olho de São José do Rio Preto Centro Especializado Retina e Vítreo São José do Rio Preto SP ,Brasil

关键词: Retinal detachment;    Vitrectomy;    Ophthalmologic surgical procedures;    Silicone oils;    Surgical procedures;    Descolamento retiniano;    Vitrectomia;    Procedimentos cirúrgicos oftalmológicos;    Óleo de silicone;    Procedimentos cirúrgicos minimamente invasivos;   

DOI  :  10.1590/S0004-27492007000600004

来源: SciELO

【 摘 要 】

PURPOSE: To report a surgical technique for retinal detachment surgery using transconjunctival sutureless 23-gauge vitrectomy with silicone oil injection. METHODS: Thirty-one patients with retinal detachment underwent vitreoretinal surgery using a transconjunctival sutureless 23-gauge vitrectomy system. At the end of the procedure silicone oil was injected into all eyes through a microcannula. After removing the microcannula, a bipolar cautery was used in the conjunctiva over the wound to prevent silicone oil reflux. RESULTS: In all patients retinal reattachment and injection of silicone oil through transconjunctival sutureless 23-gauge vitrectomy system was possible. Retinal re-detachment occurred in 8 patients (25.80%) who were submitted to a new vitreoretinal surgery by the technique described above, however, more extensive retinotomy was necessary in all cases, specially inferiorly. Three patients (9.67%) presented silicone oil leakage in subconjuntival compartment. Another surgical procedure was necessary to remove the subconjuntival silicone oil. CONCLUSIONS: The retinal detachment surgery with silicone oil injection in transconjunctival sutureless 23-gauge vitrectomy is a safe and efficient technique to repair retinal detachment and it has the advantage of being minimally invasive.

【 授权许可】

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