摘要
目的 分析带硅油眼复发性视网膜脱离的原因 ,总结硅油二次注入术治疗带硅油眼复发、复杂性视网膜脱离的效果。方法 对 15 0例带硅油眼的复发性视网膜脱离 ,其中 40例复杂性视网膜脱离接受硅油二次注入术进行了回顾性分析。结果 带硅油眼的视网膜脱离以下方为主 ,其主要原因为硅油上浮 ,原裂孔封闭不好或裂开 ,新裂孔形成 ,增殖性玻璃体视网膜病变 (PVR)的牵引。对 40例带硅油眼的视网膜脱离进行了硅油再次注入术 ,平均随访 8个月。视网膜解剖复位 3 4例 (85 % )。硅油二次取出术 12例 ,视网膜解剖复位 9例 (75 % )。结论 带硅油眼的复发性视网膜脱离的主要原因是玻璃体牵引 ,对于复杂性病例 。
Objective To analyse the causes of recurrent retinal detachment in silicone oil tamponaded eyes and summarize the effects of secondary silicone oil injection on the recurrent retinal detachment in silicone oil tamponaded eyes.Methods The 150 cases of recurrent retinal detachment in silicone oil tamponaded eyes were analysed retrospectively,among whom,40 cases (40 eyes) underwent silicone oil removal and secondary silicone oil exchange simultaneously.The causes of this kind of retinal detachment and the effects of once more silicone oil injection for parts of them were recorded.Results Because of floatation force property of silicone oil,the recurrent retinal detachment in silicone oil tamponaded eyes were found inferiorly in most of the cases.The main causes included inadequate seal or reopening of the primary retinal breaks,formation of new retinal breaks and proliferative vitreoretinopathy.The 40 eyes were followed up for 1 to 14 months (8 months on average),34 eyes (85%) achieved anatomical retinal reattachment.Of the 40 eyes,12 eyes underwent silicone oil removal surgery again and retina remained attached in 9 eyes (75%).Conclusion The causes of retinal detachment in silicone oil tamponaded eyes are various.In most complicated cases,it may be necessary to reintroduce the silicone oil.
出处
《河北医药》
CAS
2001年第5期343-345,共3页
Hebei Medical Journal
关键词
硅油
复发性视网膜脱离
硅油二次注入术
治疗
silicone oil
recurrent retinal detachment
secondary silicone oil injection