CAJ | 학술논문

目的探讨角膜浑浊情况下硅油取出的方法.方法回顾26例(26只眼)角膜浑浊的硅油填充眼的临床资料,术前三面镜及直间接检眼镜、B型超声等无法检查眼底情况和判断是否应取出硅油.所有患者均在局部麻醉下行三通道巩膜穿刺,先用眼内窥镜检查眼底情况,决定宜取出硅油后,在眼内窥镜下进行硅油取出,气液交换,必要时再行膜剥离、视网膜再复位、气体或硅油填充.术后定期复查,B超检查眼底情况,记录术后并发症和视网膜保持复位情况.结果术后平均随访时间(9.4±3.2)月.26例中,5例(19.2％)术中行膜剥离、视网膜再复位和硅油填充术,其中重硅油填充3例;6例(23.1％)行膜剥离和C3F8填充.其余15例行硅油取出后眼内灌注液填充.术后早期短暂性低眼压及前房渗出3例(11.5％),视网膜脱离需手术复位1例(3.8％).结论对角膜浑浊者,内窥镜下硅油取出术简单、安全,避免普通手术显微镜下硅油取出的盲目性,减少医源性损伤的发生.
목적 탐토각막혼탁정황하규유취출적방법.방법 회고26례(26지안)각막혼탁적규유전충안적림상자료,술전삼면경급직간접검안경、B형초성등무법검사안저정황화판단시부응취출규유.소유환자균재국부마취하행삼통도공막천자,선용안내규경검사안저정황,결정의취출규유후,재안내규경하진행규유취출,기액교환,필요시재행막박리、시망막재복위、기체혹규유전충.술후정기복사,B초검사안저정황,기록술후병발증화시망막보지복위정황.결과 술후평균수방시간(9.4±3.2)월.26례중,5례(19.2％)술중행막박리、시망막재복위화규유전충술,기중중규유전충3례;6례(23.1％)행막박리화C3F8전충.기여15례행규유취출후안내관주액전충.술후조기단잠성저안압급전방삼출3례(11.5％),시망막탈리수수술복위1례(3.8％).결론 대각막혼탁자,내규경하규유취출술간단、안전,피면보통수술현미경하규유취출적맹목성,감소의원성손상적발생.
Objective To discuss the method of silicone oil removal in case of cornea opacity.Methods The clinical data of 26 eyes of 26 patients with severe cornea opacity who had received silicone oil removal were retrospected and analyzed.After local anesthesia,ocular fundus examination,silicone oil removal,air-fluid exchange and other necessary manipulations were carried out assisted by endoscope.The peri-operative retinal situation and complications were recorded.Results Mean follow-up time was (9.4 ± 3.2) months.Of the 26 patients,5 (19.2％) received additional membrane peeling,retinal reattaching and new silicone oil temponade (with heavy silicone oil temponade in 3 eyes),and 6 (23.1％) received additional membrane peeling,and C3F8 temponade intra-operatively.The postoperative complications included early transient hypotension and anterior chamber exudation in 3 eyes (11.5％),and retinal redetachment in 1 eye (3.8％).Conclusion Endoscope-assisted silicone oil removal is simple,safe and effective in patients with cornea opacity.