摘要
目的评价重硅油眼内填充治疗未见裂孔的视网膜脱离的临床疗效。方法对未见裂孔的视网膜脱离患者7例(7眼)行玻璃体切割联合玻璃体腔重硅油(Oxane HD)填充术。结果术后随访89～248 d,均未发现视网膜再次脱离;2例患者视力提高,2例视力不变,3例视力下降。术后5例眼压异常,其中2例患者眼压低于10 mmHg,3例患者眼压高于21 mmHg;2例患者发现少量前房重硅油浮游。未发现并发性白内障、重硅油乳化、严重的前房炎症反应等与硅油相关的其他并发症。结论对非裂孔源性视网膜脱离行玻璃体切割联合玻璃体腔重硅油填充术,可获得满意的视网膜复位效果,并发症发生率也较低,可提高患者的舒适性。
Objective To assess the clinical efficacy of a heavy silicon oil as temporary internal tamponade in the treatment of retinal detachment without holes. Methods Vitrectomy combined with intravitreal heavy silicone oil tamponade （Oxane HD）was performed in 7 eyes of 7 patients with diagnosed retinal detachment without holes. Resuits The recurrence of retinal detachment was not be found in all 7 cases followed up for 89 - 248 days. Two cases showed improvement in visual acuity, 2 cases remained visual acuity and 3 cases showed visual acuity decreased after the surgery. After surgery intraocular pressure was abnormal in 5 cases, included 2 case lower than 10 mmHg and 3 cases higher than 21 mmHg. Tamponade was found in the anterior chamber in 2 case. No complicated cataract, silicon oil emulsification or excessive postoperative inflammation in anterior chamber were found in the follow-up period. Conclusion Treating the retinal detachment without holes with vitrectomy combined with intravitreal heavy silicone oil tamponade could secure a satisfactory rate of retinal reattachment, whereas the incidence of complications is low and the comfortability of patients is improved.
出处
《中国临床新医学》
2011年第12期1123-1126,共4页
CHINESE JOURNAL OF NEW CLINICAL MEDICINE
基金
广西自然科学基金资助项目(编号:2011GXNSFA018228)
关键词
重硅油
眼内填充
视网膜脱离
Heavy silicon oil
Internal tamponade
Retinal detachment
