硅油填充治疗高度近视黄斑裂孔视网膜脱离的效果观察

Review the results of silicon oil as the primary tamponade for treating macular hole retinal detachment in high myopia

目的探讨首次用硅油填充治疗高度近视黄斑裂孔视网膜脱离的效果，为选择最佳填充物提供参考。方法回顾性分析近3年85例85只眼首次填充物为硅油的高度近视黄斑裂孔视网膜脱离的资料。结果症状出现时间与初次手术成功之间相关有统计学意义（优势率，0．49，P=-0．028），初次手术成功与失败病例的最后随访视力差别具有统计学意义（P=0．023）。结论初次手术成功率对术后最佳视力有重要影响，硅油因其长效稳定的特点有可能解决高度近视患者，行玻璃体切割所不能缓解的其他牵拉因素，从而提高其手术成功率，保留患者更好的术后视力。

Objective To evaluate the results of silicon oil as the primary tamponade treating macular hole retinal detachment caused by high myopia in order to provide the optimization reference for clinical man- agement.Methods The records of 85 eyes of 85 macular hole retinal detachment patients in the hospital received silicone oil tamponade surgeries were reviewed retrospectively.Results There was significant correlation between the achievement ratio for initial operation and the course of this disease （odds ratio,0.49,P=-0.028）, the difference of the final follow-up vision between the success or failure of the initial operation was statistically significant （P =0.023）.Conclusions The successful rate of the initial operation impact obviously on the best final follow-up vision, silicon oil which has the features of prolonged action and stabilization may relief other agents that vitrectomy can not solve in high myopia, and thus to improve the success rate of surgery to the patients with better follow-up vision.