巩膜外填压治疗硅油眼复发性视网膜脱离的临床疗效

The Clinic Curative Effect of Sclera Buckling on Recurrent Retinal Detachment in Silicone Oil Filled Eyes

目的探讨硅油眼复发性视网膜脱离进行巩膜外填压的治疗效果。方法对43例（43眼）因各种原因行玻璃体切割术联合硅油注入术后视网膜脱离复发的患者进行巩膜外填压,术中引流或不引流视网膜下液,对患者进行随访,分析巩膜外填压的疗效及视功能恢复情况。结果43眼中,39眼视网膜脱离在下方,4眼为颞上或颞侧脱离。手术后视网膜复位41眼,2眼因PVR严重术中视网膜不能复位而改行玻璃体手术联合硅油注入术。术后视力手动2眼,指数4眼,0.01为3眼,0.02-0.05为19眼,0.05-0.1为7眼,0.1-0.5为10眼。平均随访10个月,3眼视网膜脱离再次复发而行玻璃体手术。结论巩膜外填压对硅油眼复发性视网膜脱离具有较好的疗效,但对于PVR严重的复发眼宜行玻璃体手术。

Objective To study The clinic curative effect of sclera buckling on recurrent retinal detachment in silicone oil filled eyes. Methods Forty-three cases （43 eyes）which had recurrent retinal detachment after vitretomy and silicone oil filled for different reasons were retrospectively studied. The patients were carried out sclera buckling and drainage the subretinal fluid or not to follow up the patients and analysis the clinic curative effect. Results Among 43 eyes,39 eyes＇ detachment at inferior retinal,4 eyes at superior retinal. 41 eyes＇ retinal repositioned after carried sclera buckling,2 eyes carried vitreous surgery for the severity PVR. The vision of patients：hand move：2 eyes;count finger：4 eyes;0.01：3 eyes;0.01-0.05：19 eyes;0.05-~0.1：7 eyes;0.1-0.5： 10 eyes. The average follow up time was 10 months,during that time,3 eyes carried vitreous surgery for recurrent retinal detachment. Conclusion Sclera buckling is effect on recurrent retinal detachment in silicone oil filled eyes, but vitreous surgery is more effective for the recurrent detachment eyes with serious PVR.