中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2014年
12期
1492-1494
,共3页
马利波%王颖%赵健%李垚
馬利波%王穎%趙健%李垚
마리파%왕영%조건%리요
玻璃体手术%硅油%长期填充
玻璃體手術%硅油%長期填充
파리체수술%규유%장기전충
Vitrectomy%Silicone oil tamponade%Long-term filling
目的 探讨硅油眼内长期填充的可行性及其转归.方法 收集2004年9月至2014年6月在沈阳爱尔眼视光医院随访资料完整的硅油眼内填充达3年以上的病例23例23只眼,男16例,女7例,硅油填充时间3年至15年,对其进行分析.其中严重孔源视网膜脱离16只眼、急性视网膜坏死2只眼、增殖性糖尿病视网膜病变Ⅵ期2只眼、眼球破裂伤3只眼,均行玻璃体切除、硅油填充.其中视网膜切开6只眼,联合晶状体一期切除17只眼.结果 末次手术后依然硅油填充17只眼,其中视网膜复位良好7只眼,视网膜部分复位7只眼;全视网膜脱离2只眼,眼底不清1只眼;6只眼硅油取出,其中5只眼硅油取出后视网膜复位保持良好,1只眼视网膜脱离复发.视力0.01～0.06者6只眼,光感～指数者10只眼,无光感者3只眼.随访期间并发症有角膜带状变性、角膜大泡病变、继发青光眼、硅油乳化、晶状体混浊、视乳头颜色变淡、低眼压、虹膜红变和硅油进入视网膜下等.结论 硅油长期填充会导致眼组织结构和功能的异常,但对于一些视网膜复位不佳的严重玻璃体视网膜病变病例,硅油的长期填充可以获得维持视网膜复位,延长有用的视功能,保持眼球外观的机会.
目的 探討硅油眼內長期填充的可行性及其轉歸.方法 收集2004年9月至2014年6月在瀋暘愛爾眼視光醫院隨訪資料完整的硅油眼內填充達3年以上的病例23例23隻眼,男16例,女7例,硅油填充時間3年至15年,對其進行分析.其中嚴重孔源視網膜脫離16隻眼、急性視網膜壞死2隻眼、增殖性糖尿病視網膜病變Ⅵ期2隻眼、眼毬破裂傷3隻眼,均行玻璃體切除、硅油填充.其中視網膜切開6隻眼,聯閤晶狀體一期切除17隻眼.結果 末次手術後依然硅油填充17隻眼,其中視網膜複位良好7隻眼,視網膜部分複位7隻眼;全視網膜脫離2隻眼,眼底不清1隻眼;6隻眼硅油取齣,其中5隻眼硅油取齣後視網膜複位保持良好,1隻眼視網膜脫離複髮.視力0.01～0.06者6隻眼,光感～指數者10隻眼,無光感者3隻眼.隨訪期間併髮癥有角膜帶狀變性、角膜大泡病變、繼髮青光眼、硅油乳化、晶狀體混濁、視乳頭顏色變淡、低眼壓、虹膜紅變和硅油進入視網膜下等.結論 硅油長期填充會導緻眼組織結構和功能的異常,但對于一些視網膜複位不佳的嚴重玻璃體視網膜病變病例,硅油的長期填充可以穫得維持視網膜複位,延長有用的視功能,保持眼毬外觀的機會.
목적 탐토규유안내장기전충적가행성급기전귀.방법 수집2004년9월지2014년6월재침양애이안시광의원수방자료완정적규유안내전충체3년이상적병례23례23지안,남16례,녀7례,규유전충시간3년지15년,대기진행분석.기중엄중공원시망막탈리16지안、급성시망막배사2지안、증식성당뇨병시망막병변Ⅵ기2지안、안구파렬상3지안,균행파리체절제、규유전충.기중시망막절개6지안,연합정상체일기절제17지안.결과 말차수술후의연규유전충17지안,기중시망막복위량호7지안,시망막부분복위7지안;전시망막탈리2지안,안저불청1지안;6지안규유취출,기중5지안규유취출후시망막복위보지량호,1지안시망막탈리복발.시력0.01～0.06자6지안,광감～지수자10지안,무광감자3지안.수방기간병발증유각막대상변성、각막대포병변、계발청광안、규유유화、정상체혼탁、시유두안색변담、저안압、홍막홍변화규유진입시망막하등.결론 규유장기전충회도치안조직결구화공능적이상,단대우일사시망막복위불가적엄중파리체시망막병변병례,규유적장기전충가이획득유지시망막복위,연장유용적시공능,보지안구외관적궤회.
Objective To study the etiology,symptoms and prognosis of long-term intraocular silicone tamponade.Methods This study collected 23 patients (23 eyes) with intraocular silicone oil tamponade for more than 3 years during 8 years follow-up.Male was 16; female was 7; the time of silicone oil tamponade was from 3 to 15 years,including 16 eyes of rhegmatogenous retinal detachment; 2 eyes of acute retinal necrosis; 2 eyes of proliferative diabeticretinopathy; 3 eyes of traumatic ocular rupture.All patients had been performed vitrectomy and silicone oil tamponade,including 6 eyes with retinal incision and 17 eyes with lesectomy.Results Of 17 eyes with long-term silicone oil tamponade,including 7 eyes with retina reattached successfully,7 eyes with retinal detachment locally; 2 eyes with total retinal detachment; 1 eye without light perception.Six eyes performed silicone oil removal,including 5 eyes with retinal reattachment after silicone oil removal,1 eye with recurrent retinal detachment.Visual acuity of patients was 0.01 to 0.06 in 6 eyes; 10 eyes with light perception to the figure count; 3 eyes with no light perception.The complications included band-shaped degeneration of cornea,bullous keratopathy,secondary glaucoma,silicone oil emulsification,cataract,atrophy of optic nerve,intraocular hypotension,rubeosis iridis and silicone oil into the subretinal.Conclusions Silicone oil tamponade will lead to long-term abnormal structure and function of the tissues of the eye,however,for severe vitreoretin.opathy cases with retinal detachment,silicone oil tamponade can maintain long-term retinal reattachment,prolong the visual function,keep eye appearance.
