国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
2期
360-362
,共3页
田敏%欧阳科%何跃%李友谊%吕红彬%董敏
田敏%歐暘科%何躍%李友誼%呂紅彬%董敏
전민%구양과%하약%리우의%려홍빈%동민
视网膜脱离%硅油乳化%低密度脂蛋白%安全性
視網膜脫離%硅油乳化%低密度脂蛋白%安全性
시망막탈리%규유유화%저밀도지단백%안전성
retinal detachment%silicone oil %emulsification%low density lipoprotein%safety
目的：探讨硅油取出术的安全性和有效性，分析硅油乳化的危险因素。<br> 方法：选取2012-11/2013-04在我院行硅油取出术的患者63例63眼，观察硅油取出手术前1d，手术后1，2，3d；1 mo眼压；术前1 d和术后1 mo视力；分析硅油取出术患者临床资料，探讨硅油乳化的危险因素。<br> 结果：行硅油取出术63眼术后视网膜解剖复位57眼（90％）；硅油取出手术前与术后各时间点眼压的差异具有统计学意义（P＜0．05），且手术后眼压较手术前降低；术后1 mo 最佳矫正视力较术前提高37眼（59％）（ P＝0.002），不变18眼（29％），下降8眼（13％）；硅油乳化23眼（37％），与硅油乳化相关的危险因素为低密度脂蛋白升高（P＜0．05）。<br> 结论：硅油取出术后视网膜解剖复位率满意，术后眼压、视力改善明显，控制血脂水平可能减缓硅油乳化的发生。
目的：探討硅油取齣術的安全性和有效性，分析硅油乳化的危險因素。<br> 方法：選取2012-11/2013-04在我院行硅油取齣術的患者63例63眼，觀察硅油取齣手術前1d，手術後1，2，3d；1 mo眼壓；術前1 d和術後1 mo視力；分析硅油取齣術患者臨床資料，探討硅油乳化的危險因素。<br> 結果：行硅油取齣術63眼術後視網膜解剖複位57眼（90％）；硅油取齣手術前與術後各時間點眼壓的差異具有統計學意義（P＜0．05），且手術後眼壓較手術前降低；術後1 mo 最佳矯正視力較術前提高37眼（59％）（ P＝0.002），不變18眼（29％），下降8眼（13％）；硅油乳化23眼（37％），與硅油乳化相關的危險因素為低密度脂蛋白升高（P＜0．05）。<br> 結論：硅油取齣術後視網膜解剖複位率滿意，術後眼壓、視力改善明顯，控製血脂水平可能減緩硅油乳化的髮生。
목적：탐토규유취출술적안전성화유효성，분석규유유화적위험인소。<br> 방법：선취2012-11/2013-04재아원행규유취출술적환자63례63안，관찰규유취출수술전1d，수술후1，2，3d；1 mo안압；술전1 d화술후1 mo시력；분석규유취출술환자림상자료，탐토규유유화적위험인소。<br> 결과：행규유취출술63안술후시망막해부복위57안（90％）；규유취출수술전여술후각시간점안압적차이구유통계학의의（P＜0．05），차수술후안압교수술전강저；술후1 mo 최가교정시력교술전제고37안（59％）（ P＝0.002），불변18안（29％），하강8안（13％）；규유유화23안（37％），여규유유화상관적위험인소위저밀도지단백승고（P＜0．05）。<br> 결론：규유취출술후시망막해부복위솔만의，술후안압、시력개선명현，공제혈지수평가능감완규유유화적발생。
AIM:To investigate the safety and efficacy after removal of silicone oil, and to analyze risk factors for silicone oil emulsification. <br> METHODS: A retrospective analysis of 63 cases ( 63 eyes ) underwent silicone oil removal in this hospital between November in 2012 and April in 2013.Intraocular pressure ( IOP) was observed 1d before surgery, 1, 2, 3d;1mo after surgery;vision was analyzed 1d before surgery and 1mo after surgery; clinical data of patients were analyzed and risk factors for silicone oil emulsification were explored. <br> RESULTS: After silicone oil removal in 63 eyes, retinal anatomic reduction was in 57 eyes (90%).The difference between preoperative and postoperative IOP at each time point had statistical significance ( P <0.05 ), and postoperative IOP was lower than preoperative IOP. Compared with preoperative IOP, best-corrected visual acuity at one postoperative month was improved in 37 eyes (59%) (P=0.002), unchanged in 18 eyes (29%), and decreased in 8 eyes ( 13%) .Silicone oil emulsion 23 eyes ( 37%) , and risk factors associated with silicone oil emulsion was elevation of low density lipoprotein ( LDL) (P<0.05). <br> CONCLUSION:The rate of retinal anatomic reduction is satisfactory after silicone oil removal. IOP and visual acuity were improved significantly after surgery.Control of cholesterol levels may slow down the process of silicone oil emulsion.
