摘要
目的 :观察玻璃体切除联合硅油填充 (使用 5 0 0 0粘度硅油 )治疗儿童复杂性视网膜脱离 ,并报道其解剖复位、视力改变及并发症。方法 :回顾分析了 6 9例 6 9只眼 15岁以下儿童行玻璃体切割联合硅油填充治疗情况。结果 :视网膜复位情况 :完全视网膜复位 5 1/ 6 9(74% ) ,黄斑区视网膜复位 5 6 / 6 9(81% )。视力改变 :有用视力 (≥ 0 .0 2 )占 46 /6 9 (6 7% ) ,保留原术前视力或更好 5 9/ 6 9(86 % )。并发症 :术后高眼压 2 0 / 6 9(2 9% ) ,低眼压 4/ 6 9(6 % ) ,角膜改变 9/ 6 9(13% ) ,白内障 6 / 32 (19% ) ,前部 PVR或 PVR再增殖 2 1/ 6 9(30 % )。结论 :玻璃体切割联合硅油填充是治疗儿童复杂性视网膜脱离的有效方法。从视网膜复位、术后视力及术后并发症三方面来看 ,视网膜巨大裂孔组手术效果最佳。术后的前部 PVR形成和
Objective: To report the anatomic and visual acuity outcomes, as well as complications, after using 5000 centistoke silicone oil as a retinal tamponade for the treatment of complex retinal detachment in children. Methods: We analyzed retrospectively 69 cases (69eye) 15 years old or younger, who were performed with vitrectomy and silicone oil as the retinal tamponade, followed-up from 4-26 months. Results: At the 6-month and last examination, the retinal was completely attached 51/69 (74%). The macula was attached 56/69 (81%). Ambulatory visual was achieved 46/69 (67%). Visual acuity was preserved 68/69 (98%). The complications were as follows: elevated IOP 20/69 (29%), hypotony 4/69 (6%), corneal opacity 9/69 (13%), cataract in phakic eyes 5/34 (15%), anterior PVR and recurrent PVR 21/69 (30%). Conclusions: Vitrectomy with silicone oil tamponade is an effective therapy for complex retinal detachments in pediatric patients. The major cause of retinal re-detachment is anterior PVR and recurrent PVR.
出处
《中国实用眼科杂志》
CSCD
北大核心
2001年第11期850-852,共3页
Chinese Journal of Practical Ophthalmology
