CAJ | 학술논문

目的：探讨硅油填充术后视网膜再脱离治疗的手术方法及临床疗效。 　　方法：对19例19眼硅油填充术后视网膜再脱离患者，行23 G巩膜双通道硅油下视网膜复位手术。术后随访观察视力、眼压、视网膜复位及并发症。 　　结果：患者17例17眼手术后视网膜复位，成功率89%。术后1wk最佳矫正视力为手动/眼前~0.4。术后3d观察眼压升高>21 mmHg者6眼，经降眼压治疗后均下降，术后3 mo随访眼压为16.3~24.6 mmHg。 　　结论：23 G巩膜双通道硅油下视网膜复位术对早期简单的硅油填充术后视网膜再脱离有效、手术简便、安全。
목적：탐토규유전충술후시망막재탈리치료적수술방법급림상료효。 　　방법：대19례19안규유전충술후시망막재탈리환자，행23 G공막쌍통도규유하시망막복위수술。술후수방관찰시력、안압、시망막복위급병발증。 　　결과：환자17례17안수술후시망막복위，성공솔89%。술후1wk최가교정시력위수동/안전~0.4。술후3d관찰안압승고>21 mmHg자6안，경강안압치료후균하강，술후3 mo수방안압위16.3~24.6 mmHg。 　　결론：23 G공막쌍통도규유하시망막복위술대조기간단적규유전충술후시망막재탈리유효、수술간편、안전。
AIM: To investigate surgical options and clinical outcomes of treating retinal redetachment after the initial silicone oil tamponade. METHODS:Nineteen eyes of 19 patients who had been performed silicone oil tamponade underwent 23G scleral double-channel retinal reattachment surgery in silicone oil. Visual acuity, intraocular pressure ( IOP) and retinal reattachment with its complications were evaluated postoperatively. RESULTS: Retinal reattachment was achieved in 17 patients (17 eyes) after surgery, with the success rate of 89%. Best corrected visual acuity ( BCVA ) at 1wk after surgery ranged from 0. 4 to HM/BE. Three days after surgery, IOP >21mmHg was observed in 6 eyes and then decreased after the therapy of lowering IOP. The IOP ranged from 16. 3~24. 6mmHg at 3mo postoperatively. CONCLUSION: 23G scleral double - channel retinal reattachment surgery in silicone oil is an effective, convenient and safe method to treat retinal redetachment after initial simply silicone oil tamponade at the early stage.