摘要
目的探讨开放性眼外伤硅油依赖眼的成因和临床特征。方法回顾性收集2005年1月至2009年12月间我院269例(269只眼)开放性眼外伤行玻璃体切除术和硅油填充患者的临床资料。对其中21例(21只眼)玻璃体切除术后硅油依赖眼的成因、手术过程及预后等情况进行回顾性分析。结果 269例(269只眼)行玻璃体切除术和硅油填充患者中,发生硅油依赖眼21只眼(7.8%);其中4只眼硅油取出后,仍有玻璃体视网膜增生,或反复发生玻璃体出血和增生膜形成,进行C3F8填充后效果不佳,再行硅油填充;有6只眼因术中发现视网膜无法复位,硅油脉络膜充填;另外9只眼行360°周边视网膜切除术视网膜残留较少,3只眼为1～3岁婴幼儿评估取出后低眼压可能复发视网膜脱离,硅油长期填充。随访结束时复查患者视力,眼前1尺数指至0.1者8只眼,光感和无光感各13只眼。结论眼外伤硅油依赖眼发生率约为7.8%,严重眼外伤尤其是术前无光感的眼球破裂伤,一期眼内容丢失,出血性脉络膜脱离,360°周边视网膜切除视网膜残留较少,婴幼儿低眼压的患者是开放性眼外伤硅油依赖眼的主要要原因。
Objective To investigate the cause and clinical feature in open-ocular trauma with silicone oil dependency.Methods A retrospective study collecting 269 cases of open ocular traumas after vitrectomy and silicone oil infusion from January 2005 to December 2009 in our hospital.analysis of the cause,surgical procedure and prognosis in 21 open-ocular traumas with silicone oil dependency after vitrectomy.Results 21 eyes（7.8%）of 269 cases occur silicone oil dependency after vitrectomy.of 21 eyes,four eyes after silicone oil removal,there are still occur recurrent vitreous hemorrhage and proliferative membrane,the result is not good after filled with C3F8,then re-filled with silicone oil;6 eyes were filled with silicone oil due to failure of retina replacement,another 9 eyes due to less residual retinal after 360 ° peripheral retinal resection,3 eyes of 1 ~ 3-year-old children were filled with silicone oil a long-term because of the risk of recurrence of retinal detachment after silicone oil removal.At the end of follow-up,the visual acuity of 8 eyes were a feet to 0.1,13 eyes light perception and no light perception.Conclusion The rate of ocular trauma with silicone oil dependency was 7.8%,the main reason of ocular trauma with silicone oil dependency were severe ocular trauma,especially the eyeball rupture with no light perception preoperative,lost of eye contents,hemorrhagic choroidal detachment,fewer residual retinal after 360 ° peripheral retinal resection and infants with low intraocular pressure.
出处
《临床眼科杂志》
2011年第6期537-538,共2页
Journal of Clinical Ophthalmology
关键词
开放性眼外伤
硅油依赖眼
临床特征
Open-ocular trauma
Silicone oil dependency
Clinical feature
