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
7期
521-523
,共3页
硅油,重%填充%脱离,视网膜
硅油,重%填充%脫離,視網膜
규유,중%전충%탈리,시망막
Silicone oli,heavy%Tamponade%Detachment,retinal
目的 评价重硅油眼内填充治疗下方裂孔的视网膜脱离手术疗效及并发症.方法 对下方视网膜裂孔和严重增生性玻璃体视网膜病变(PVR)的复杂性视网膜脱离15例(15眼)行玻璃体切除联合玻璃体腔重硅油填充术.并同时选取15眼患相似类型的视网膜脱离者,在玻璃体切除术后给予眼内普通轻硅油填充作为对照.硅油取出的时间:重硅油组为手术后21～99d,轻硅油组为32～108d.两组时间比较,P＞0.05.术后对视力、眼压及并发症等情况进行随访.结果 随访8～13个月,重硅油组视网膜一次完全复位者13眼(86.67％),轻硅油组一次视网膜完全复位者9眼(60.00％)(P＜0.05),重硅油组并发症有:并发性白内障7眼,重硅油乳化4眼,高眼压3眼,严重的前房炎症反应1眼.结论对下方裂孔的视网膜脱离行玻璃体切除联合玻璃体腔重硅油填充术,可获得良好的视网膜复位率,可提高因为年龄或全身因素无法俯卧患者的舒适性.并发症主要为并发性白内障,高眼压,硅油乳化,前房炎症反应,经过适当处理均可解决.
目的 評價重硅油眼內填充治療下方裂孔的視網膜脫離手術療效及併髮癥.方法 對下方視網膜裂孔和嚴重增生性玻璃體視網膜病變(PVR)的複雜性視網膜脫離15例(15眼)行玻璃體切除聯閤玻璃體腔重硅油填充術.併同時選取15眼患相似類型的視網膜脫離者,在玻璃體切除術後給予眼內普通輕硅油填充作為對照.硅油取齣的時間:重硅油組為手術後21～99d,輕硅油組為32～108d.兩組時間比較,P＞0.05.術後對視力、眼壓及併髮癥等情況進行隨訪.結果 隨訪8～13箇月,重硅油組視網膜一次完全複位者13眼(86.67％),輕硅油組一次視網膜完全複位者9眼(60.00％)(P＜0.05),重硅油組併髮癥有:併髮性白內障7眼,重硅油乳化4眼,高眼壓3眼,嚴重的前房炎癥反應1眼.結論對下方裂孔的視網膜脫離行玻璃體切除聯閤玻璃體腔重硅油填充術,可穫得良好的視網膜複位率,可提高因為年齡或全身因素無法俯臥患者的舒適性.併髮癥主要為併髮性白內障,高眼壓,硅油乳化,前房炎癥反應,經過適噹處理均可解決.
목적 평개중규유안내전충치료하방렬공적시망막탈리수술료효급병발증.방법 대하방시망막렬공화엄중증생성파리체시망막병변(PVR)적복잡성시망막탈리15례(15안)행파리체절제연합파리체강중규유전충술.병동시선취15안환상사류형적시망막탈리자,재파리체절제술후급여안내보통경규유전충작위대조.규유취출적시간:중규유조위수술후21～99d,경규유조위32～108d.량조시간비교,P＞0.05.술후대시력、안압급병발증등정황진행수방.결과 수방8～13개월,중규유조시망막일차완전복위자13안(86.67％),경규유조일차시망막완전복위자9안(60.00％)(P＜0.05),중규유조병발증유:병발성백내장7안,중규유유화4안,고안압3안,엄중적전방염증반응1안.결론대하방렬공적시망막탈리행파리체절제연합파리체강중규유전충술,가획득량호적시망막복위솔,가제고인위년령혹전신인소무법부와환자적서괄성.병발증주요위병발성백내장,고안압,규유유화,전방염증반응,경과괄당처리균가해결.
Objective To evaluate the curative effect and complications of heavy silicone oil tampenade for rhegnatogenous retinal detachment with inferior retinal tear.Methods Fifteen cases(15 eyes)of serious retinal detachment with inferior retinal tear or PVR had accepted vitrectomy and heavy silicone oil tamponade.At the same time,randomly 15 eyes with similar type of retinal datachment accepted vitrectomy and routine silicone oil tamponade as the control group.The silicone oil extraction was performed 21-99days after surgery in heavy silicone oil group,it was 32 ～108 days in control group(P＜0.05).Postoperative visual acuity,intraocular pressure(IOP)and complications were observed.Resulls The follow-up was 8toi3 months,The retina realtached in 13 eyes(86.67％)in heavy silicone oil group,and 9 eyes (60.00％)in control group(P ＜ 0.05).The main complications of heavy silicone oil group were complicared cataract in 7 cases,heavy silicone oil emulsification in 4 cases,high intreocular pressure in 3 cases,serious anterior chamber inflammation in one case.Conclusion For patients of retinal detachment with inferior retinal tear,vitrectomy combined with heavy silicone oil tamponade could obtain satisfactory retinal reattachment rate,it can improve comfortable for patients with high age or systemic factors that could not mainrain prone position.The main complications were complicated cataract,high intraocular pressure,silicone oil emulsification and anterior chamber inflammation.
