CAJ | 학술논문

目的评价重硅油作为眼内填充剂治疗复杂性视网膜脱离的有效性和安全性.方法采用标准的玻璃体切割联合重硅油Oxane HD充填术治疗复杂性视网膜脱离患者13例13只眼,术中根据病情联合白内障摘除、巩膜环扎、增殖膜剥除、视网膜切开、重水压平视网膜行眼内激光光凝等.观察重硅油充填期及取出后术眼的最佳矫正视力、视网膜解剖复位情况、手术后并发症等.结果重硅油充填期平均为93d,取出后平均随访170d.13只眼中有12只眼最佳矫正视力提高,1只眼视力无改善.有10只眼在眼内充填重硅油至取出后保持稳定的视网膜复位至随访结束.术后主要并发症包括轻至中度的眼压升高、眼前段炎症反应、晶状体混浊、增殖膜形成和硅油乳化等.结论重硅油Oxane HD作为眼内填充物可以有效安全地治疗复杂性视网膜脱离,尤其是伴下方或后极部裂孔的视网膜脱离.
목적 평개중규유작위안내전충제치료복잡성시망막탈리적유효성화안전성.방법 채용표준적파리체절할연합중규유Oxane HD충전술치료복잡성시망막탈리환자13례13지안,술중근거병정연합백내장적제、공막배찰、증식막박제、시망막절개、중수압평시망막행안내격광광응등.관찰중규유충전기급취출후술안적최가교정시력、시망막해부복위정황、수술후병발증등.결과 중규유충전기평균위93d,취출후평균수방170d.13지안중유12지안최가교정시력제고,1지안시력무개선.유10지안재안내충전중규유지취출후보지은정적시망막복위지수방결속.술후주요병발증포괄경지중도적안압승고、안전단염증반응、정상체혼탁、증식막형성화규유유화등.결론 중규유Oxane HD작위안내전충물가이유효안전지치료복잡성시망막탈리,우기시반하방혹후겁부렬공적시망막탈리.
Objective To evaluate the therapeutic effect and safety of heavy silicone oil used as interhal tamponade to treat complicated retinal detachment. Methods Vitreoretinal surgery and intraocular tamponade of heavy silicone oil (Oxane HD) were used in 13 patients (13 eyes) with complicated retina detachment. Scleral buckling, epiretinal membrane peeling, retinotomy, per-fluorocarbon liquid infusion, laser photocoagulation, phacoemulsification were performed in some patients. The best-spectacle corrected visual acuity (BCVA), retinal status and complications after surgery were observed. Results The mean duration of heavy silicone oil endotamponade was 93 days and the mean follow-up was 130 days after heavy silicone oil removal. BCVA was improved in 12 cases (92.3%). Retinal reattached and holes were closed in 10 cases with heavy silicone oil endotamponade (77%) in the end of the follow-up. The postoperative complications included moderate high intraocular pressure, temporary inflammatory reaction, lens opacity, fibrocellular membranes proliferation and heavy silicone oil emulsification. Conclusions The heavy silicone oil Oxane HD is effective and safe to treat complicated retinal detachment, especially with holes located in the inferior and posterior pole.