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硅油填充治疗外伤感染性眼内炎伴视网膜脱离 被引量:9

The management of traumatic endophthalmitis associated with retinal detachment using silicone oil
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摘要 目的 探讨硅油填充治疗外伤性感染性眼内炎伴视网膜脱离的效果和影响因素。方法 回顾性分析 1995年 1月至 2 0 0 2年 12月 ,我院眼科行硅油填充治疗外伤性感染性眼内炎伴视网膜脱离的 16例 16眼临床资料。结果 感染性眼内炎均得到控制。视网膜完全复位 11眼 (68 8% ) ,限局性视网膜脱离 3眼 (18 8% ) ,完全脱离 2眼 (12 5% )。术后视力光感~ 0 0 4者 11眼 ,≥ 0 0 5者 5眼。结论 应用硅油填充术能够有效地治疗外伤性感染性眼内炎伴视网膜脱离 ,术后并发症主要是视网膜脱离复发和增生性玻璃体视网膜病变 (PVR)。 ObjectiveTo evaluate the use of silicone oil as an intraocular tamponade for traumatic endophthalmitis associated with retinal detachment.Methods16 cases (16 eyes) of traumatic endophthalmi tis associated with retinal detachment were analyzed retrospectively.All of them underwent silicone oil tamponade.ResultsDuring a follow-up of 3-25 months,intraocular infection of 16 cases were controlled,the detached reti nas were reattached in 11 eyes(68.8%),locally detached in 3 eyes(18.8%) and rede tached in 2 eyes(12.5%).Corrected vision was 0.04 or worse in 11 eyes,and better than 0.05 in 5 eyes.ConclusionSilicone oil tamponade is an ef fective method for the management of traumatic endophthalmitis associated with r etinal detachment.The major complication is recurrent retinal detachment and pro liferative vitreoretinopathy after silicone oil tamponade.
出处 《眼外伤职业眼病杂志》 北大核心 2004年第1期7-9,共3页 Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词 硅油 填充治疗 外伤感染性眼内炎 视网膜脱离 silicone oil endophthalmitis retinal detachment
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  • 1Aras C, Ozdamar A, Karacorlu M,et al. Silicone oil in the surgical treatment of endophthalmitis associated with retinal detachment [ J]. Int Ophthalmol,2002,24:147-150.
  • 2Bartz-Schmidt KU, Bermig J, Kirchoff B,et al. Prognostic factors associated with visual otucome after vitrectomy for endophthalmitis [J]. Grafes Arch Clin Exp Ophthalmol, 1996,234:51-58.
  • 3Ozdamar A,Aras C,Ozturk R,et al .In vitro antimicrobial activity of silicone oil against endopthalmitis-causing agents [J]. Retina, 1999,19:122-126.
  • 4Rosa RH,Thomas MA,Green WR,Clinicopathologic correlation of submacular membranectomy with retention of good vision in a patient with age-related macular degeneration [ J ]. Arch Ophthalmol, 1996,114: 480-487.
  • 5Lambrou FH, Burke JM, Aaberg TM. Effect of silicone oil on experimental traction retinal detachment[J]. Arch Ophthalmol, 1987,105:1269-1272.

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