重硅油在复杂性视网膜脱离中的应用观察

Clinical observation on heavy silicone oil in the treatment of complicated retinal detachment

目的 观察重硅油作为眼内填充物治疗复杂性视网膜脱离的疗效和安全性.方法 回顾性分析复杂性视网膜脱离患者15例（15眼）,其视网膜脱离由下方视网膜裂孔所致,对其进行玻璃体切割联合重硅油填充治疗.结果 随访（4.20±1.62）个月,15例患者视网膜全部复位,裂孔封闭. 结论应用重硅油眼内填充治疗裂孔位于下方的复杂性视网膜脱离疗效较好,并发症少.但其乳化时间较短,使其适应证受限.

Objective To observe the therapeutic effect and safety of heavy silicone oil used as internal tamponade to treat complicated retinal detachment. Methods Retrospective 15 patients （ 15 eyes）with complicated retinal detachment, whose retinal detachment arising from inferior retinal tears. Heavy silicone oil was applied to patients during vitrectomy. Results The mean follow-up was （4.20 ± 1.62）months. Retinal reattachment and holes were closed in 15 cases. Conclusions The study shows that heavy silicone oil tamponade is effective to treat complicated retinal detachment and relatively few complications.However, its emulsification period is relatively short, which may constrain its application to a certain extent.