摘要
目的评价硅油填充治疗儿童复杂性视网膜脱离的效果及其影响因素。方法回顾分析１９９３年６月～１９９７年９月行玻璃体切除联合硅油填充术治疗的１４岁以下儿童复杂性视网膜脱离３４例３６只眼术后随访３～２１个月的临床资料。结果视网膜完全复位１９只眼，占５２．７％；限局脱离１０只眼，占２７．８％；完全脱离６只眼，占１６．７％，１只眼眼底不清，占２．８％。术后视力０．０５以下者１２只眼，占３３．３％；０．０５～０．２者２０只眼，占５５．６％；不会查视力者４只眼，占１１．１％。结论硅油填充是治疗儿童复杂性视网膜脱离的有效方法，术后增生性玻璃体视网膜病变（ｐｒｏｌｉｆｅｒａｔｉｖｅｖｉｔｒｅｏｒｅｔｉｎｏｐａｔｈｙ。
Objective To evaluate the efficacy and its affecting factors of silicone oil as an introocular tamponade for copmlicated retinal detachments in children(≤14 years). Methods We analysed retrospectively 34 cases(36 eyes) of complicated retinal detachments in children,who were performed with pars plana vitrectomy combined with silicone oil tamponade from June 1993 to November 1997. Results After 3～21 months of follow up,the detached retinas in 19 eyes(52.7%) were reattached,in 10 eyes(27.8%) partially reattached and in 6 eyes(16.7%)redetached,1 eye(2.8%)had a media opacity that precluded evaluation of the retina.Postoperative visual acuity was less than 0.05 in 12 eyes(33.3%),and 0.05～0.2 in 20 eyes(55.6%),2 cases(4 eyes) could not tell their visions(11.1%) Conclusion Silicone oil tamponade is an effective therapy for complicated retinal detachments in children.The major cause of surgical failure was development of recurrent proliferative vetrioretinopathy.
出处
《中华眼底病杂志》
CAS
CSCD
北大核心
1999年第1期7-8,共2页
Chinese Journal of Ocular Fundus Diseases
关键词
儿童
视网膜脱离
硅油填充术
Silicone oil/therapeutic Children Retinal detachment/surgical treatment Vitrectomy
