中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2012年
6期
453-456
,共4页
李秀云%李聪伶%朱艳%王俊%李娜
李秀雲%李聰伶%硃豔%王俊%李娜
리수운%리총령%주염%왕준%리나
重硅油%视网膜脱离,外伤性%玻璃体切除术
重硅油%視網膜脫離,外傷性%玻璃體切除術
중규유%시망막탈리,외상성%파리체절제술
Heavy silicone oil%Retinal detachment,traumatic%Vitrectomy
目的 观察重硅油作为眼内填充物在外伤性视网膜脱离复位手术中的临床效果、并发症及安全性.方法 对15例(16眼)伴有全身外伤的外伤性视网膜脱离进行玻璃体切除术,术后应用重硅油填充,随诊2～5个月取出重硅油,取油后随访3～6个月,观察手术前后视力、眼压、晶状体情况,视网膜复位情况及硅油乳化情况.结果 硅油取出后13例(14眼,87.50％)视网膜平复,11例(12眼,75.00％)矫正视力较术前不同程度提高；1例(1眼,6.25％)因前增生性玻璃体视网膜病变而视网膜未复位,再次手术行标准硅油填充,视网膜复位好,另1例(1眼,6.25％)因合并严重的外伤性脉络膜脱离而视网膜无法复位,行眼内容摘除术.患眼重硅油填充术后主要的眼部并发症为硅油乳化,为术后2周至2月,平均乳化时间为(1.28±0.12)月,未引起明显的眼压升高或角膜内皮细胞损伤.结论 外伤性视网膜脱离行玻璃体切除手术后用重硅油填充效果良好,无明显并发症,明显提高了患者舒适度,但乳化较快.
目的 觀察重硅油作為眼內填充物在外傷性視網膜脫離複位手術中的臨床效果、併髮癥及安全性.方法 對15例(16眼)伴有全身外傷的外傷性視網膜脫離進行玻璃體切除術,術後應用重硅油填充,隨診2～5箇月取齣重硅油,取油後隨訪3～6箇月,觀察手術前後視力、眼壓、晶狀體情況,視網膜複位情況及硅油乳化情況.結果 硅油取齣後13例(14眼,87.50％)視網膜平複,11例(12眼,75.00％)矯正視力較術前不同程度提高；1例(1眼,6.25％)因前增生性玻璃體視網膜病變而視網膜未複位,再次手術行標準硅油填充,視網膜複位好,另1例(1眼,6.25％)因閤併嚴重的外傷性脈絡膜脫離而視網膜無法複位,行眼內容摘除術.患眼重硅油填充術後主要的眼部併髮癥為硅油乳化,為術後2週至2月,平均乳化時間為(1.28±0.12)月,未引起明顯的眼壓升高或角膜內皮細胞損傷.結論 外傷性視網膜脫離行玻璃體切除手術後用重硅油填充效果良好,無明顯併髮癥,明顯提高瞭患者舒適度,但乳化較快.
목적 관찰중규유작위안내전충물재외상성시망막탈리복위수술중적림상효과、병발증급안전성.방법 대15례(16안)반유전신외상적외상성시망막탈리진행파리체절제술,술후응용중규유전충,수진2～5개월취출중규유,취유후수방3～6개월,관찰수술전후시력、안압、정상체정황,시망막복위정황급규유유화정황.결과 규유취출후13례(14안,87.50％)시망막평복,11례(12안,75.00％)교정시력교술전불동정도제고；1례(1안,6.25％)인전증생성파리체시망막병변이시망막미복위,재차수술행표준규유전충,시망막복위호,령1례(1안,6.25％)인합병엄중적외상성맥락막탈리이시망막무법복위,행안내용적제술.환안중규유전충술후주요적안부병발증위규유유화,위술후2주지2월,평균유화시간위(1.28±0.12)월,미인기명현적안압승고혹각막내피세포손상.결론 외상성시망막탈리행파리체절제수술후용중규유전충효과량호,무명현병발증,명현제고료환자서괄도,단유화교쾌.
Objective To evaluate the clinical effficiency,postoperative complications and safety in patients after heavy silicone oil intraocular tamponade for traumatic retinal detachment.Methods Fifteen patients( 16 eyes) of traumatic retinal detachment were treated with par plana vitrectomy and heavy silicone oil ( Densiron - 68) tamponade.The tamponade persisted for 2 months to 5 months,and were followed up for 3 months to 6 months after heavy silicone oil removal.The visual acuity,intraocular pressure,the lens,retina and silicone oil emulsification were observed.Results Anatomical reattachment were achieved in 13 cases (14 eyes,87.5％ ) after removal of Densiron -68.Best corrected visual acuity improved in 11 cases(12 eyes,75％ ).Retinal redetachment occurred in 2 patients.One case had front proliferative vitrous retinopathy and was tamponaded with infused common silicone oil again.The retina was anatomical reattachment in following up.One case had heavy choroid detachment and the eyeball was removed.The main complication was silicone oil emulsification which appeared 2 weeks to 2 months after operation,( 1.28 ±0.12) months averagely.Conclusion Heavy silicone oil intraocular tamponade for traumatic retinal detachment has positive effect and improve patient comfort,but it emulsificates soon after surgery.
