儿童孔源性视网膜脱离硅油填充术后硅油取出的原因分析

A clinical analysis on child patients with retraction of silicon oil after operation of rhegmatogenous retinal detachment

目的 探讨 14岁及以下年龄儿童孔源性视网膜脱离术后硅油取出的原因及并发症的临床特点。 方法 回顾性分析 14岁及以下儿童 2 2只眼及成人 11只眼孔源性视网膜脱离硅油填充术及术后观察随访的临床资料 ,分析比较上述二组硅油取出原因及硅油注入后不同时间硅油并发症发生的情况以及硅油取出前后视力等计量资料。 结果 两组患者硅油取出原因、硅油存留的并发症基本相同 ,并发症的发生率均随硅油存留时间的延长而增加 ;各组取硅油后视力改变状况及两组之间取出硅油前后视力比较差异均无显著性。 结论 儿童硅油眼内填充术后硅油的眼内反应与成人基本相同 ;年龄因素对取出硅油的手术效果无明确影响。

Objective [WT5”BZ]To probe the clinical feature and complications of extraction of silicon oil after operation of simple rhegmatogenous retinal detachment in child patients. [WT5”HZ]Methods [WT5”BZ]The clinical materials of 22 patients (22 eyes) of child patients (5~14 years old) and 11 cases (11 eyes) of adult patients with simple rhegmatogenous retinal detachment undergone surgical treatment and subsequent retraction of silicon oil tampon, were reviewed and analyzed retrospectively. The reasons of extraction silicon tampon, ocular complications of intraocular silicon tamponade and the changes of visual acuity pre and post-extraction of silicon tamponade in above 2 groups were explored. [WT5”HZ]Results [WT5”BZ]The main reason for the extraction and complications of silicon oil tamponade were similar in both groups. The rate of occurrence of the complications in either group rose as time went on . There was no significant difference in change of visual acuity between two groups after the extraction of silicon oil tampon. [WT5”HZ]Conclusion [WT5”BZ]The responses to silicon oil after the operation for simple rhegmatogenous retinal detachment is quite similar in either children or adult patients,and there is no obvious difference between child and adult patients in the results of silicon oil extraction. [WT5”HZ]