Objective To investigate the application of disposable transfusion set in 23-gauge silicone oil removal .Methods Forty-two patients (42 eyes) were treated with 23-gauge silicone oil removal via disposable transfusion set .The changes of vision and intraocular pressure were compared perioperatively .The postoperative complications were recorded .Results The operation time was 5-16 (8.2 ± 3.1) minutes .The intraocular pressure was lower on the first day after operation than that before and one week after operation[(11.47 ± 3.10) mmHg vs .(17.69 ± 6.15) mmHg and (15.64 ± 2.73) mmHg](P<0 .01) .Three months after operation the best corrected vision was improved in 30 eyes(71% ) and unchanged in 12 eyes(29% ) .The recurrence of retinal detachment in two weeks after operation was seen in one case ,the vitreous hemorrhage in two months after operation happened in one case ,and silicone oil residue was seen in 2 cases .Conclusion The operation of 23-gauge silicone oil removal via disposable transfusion set is safe ,effective and economical .%目的 探讨一次性输血器在23G硅油取出术中的应用.方法 通过一次性输血器行23G硅油取出术的患者42例(42眼),比较手术前后的视力、眼压变化,记录术后并发症发生情况.结果 手术时间5~16(8.2±3.1)min.术后1 d的眼压较术前和术后1周降低[(11.47±3.10)mmHg vs.(17.69±6.15)mmHg和(15.64±2.73)mmHg](P<0.01).术后3个月,最佳矫正视力30眼(71%)有提高,12眼(29%)无改变,无视力下降者.1例术后2周视网膜脱离复发,1例术后2个月玻璃体积血,2例硅油滴残留.结论 通过一次性输血器行23G硅油取出术具有安全、高效、经济等特点.
展开▼
