三切口眼内硅油取出术的临床分析

Clinical analysis of the three-incisien silicone oil remover

目的观察眼内硅油取出的有效方法,探讨三切口硅油取出手术效果。方法对48例(48只眼)施行三切口眼内硅油取出、剥膜、惰性气体填充术等手术方法。结果48只眼有23只眼伴有视网膜增生改变(47.9%),术后视网膜保持复位46只眼(95.8%),2只眼部分复位;2只眼继发青光眼眼压正常。术后视力:0.02者以上26只眼,其中0.1以上者10只眼。结论三切口眼内硅油取出术安全,可防止硅油取出后视网膜脱离等并发症的发生。

Objective To abserve the effect of three-incision oil remover after ritectomy combined with sicicone oil tamponade. Methods The operation Methods of performing on 48 eyes by three-incision oil removcer, preretinal membrane evulsion and pneumatic retineopexy. Results In 23 of 48 eyes （47.9%）. prolierative retinopathy was found ; the retina was erattached in 46 of 48 eyes（95.8% ）. But partly reathached in the 2 of 46 eyes. the risual acuity after opration was better than 0.02 to 26 eyes. and, better than 0.1 in 10 of the 26 eyes. Conclusion Acooding to the eyes of silicone ail eyes, the three - incisron oil remover was hight-effect and safe. It could prevent the ocurrence of compliacation sach as rintal detchment,Thecxperience of olinical opplication was worth pronoting.