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硅油填充眼视网膜脱离的手术治疗 被引量:4

The treatment of retinal detachment after silicone oil tamponades
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摘要 目的 探讨硅油填充眼视网膜脱离的治疗方法。 方法 回顾性分析解放军总医院 2年来收治的硅油填充术后发生视网膜脱离 32只眼行硅油取出 ,视网膜前膜剥离 ,视网膜切开 ,激光光凝和眼内C3 F8填充手术治疗的结果。 结果 视网膜完全复位 2 8只眼 ,复位率为 87.5 % ,部分复位 4只眼 ;术后视力提高 12只眼 ,不变 16只眼 ,下降 4只眼 ;术后发生并发症 6只眼 ;其中继发性青光眼 3只眼 ,低眼压 1只眼 ,前房积血 2只眼。 结论 视网膜前膜剥离、视网膜切开、眼内激光光凝、C3 Objective To invesligate the treatment of retinal detachment(RD) after silicone oil tamponades(SOT). Methods The records of a consecutive series of 32 eyes with redetachment of retina after SOT surgery between 1998 to 2000 were reviewed retrospectively. The surgical techniques used for these cases included remove of silicon oil,peeling of preretinal membrane, retinotomy, endolaser photocoagutation, secondary vitrectomy and C 3F 8 tamponades. Results In 28 of 32 eyes the retina was reattached (87.6%). The postoperative visual acuity was improved in 12 eyes, redused in 4 eyes and remained no change in 16 eyes. The postoperative complications in 6 eyes included secondary glaucoma(3 eyes), hypotony (1 eye) and hyphema (2 eyes). Conclusion The techniques of preretinal membrane peeling, retinotomy, endophotocoagulation and C 3F 8 tamponades can be effectively used in combination to treat the redetachment of retina after the silicone oil tamponades surgery.
作者 刘英
出处 《中华眼底病杂志》 CAS CSCD 2001年第3期214-215,共2页 Chinese Journal of Ocular Fundus Diseases
关键词 视网膜脱离 病因学 硅油类 硅油填充术 Retinal detachment/pathogenesis Retinal detachment/therapy Silicone oils/therapeutic use
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  • 1黎晓新,眼科,1993年,2卷,70页
  • 2吕林,国外医学眼科学分册,1991年,15卷,273页

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