硅油填充术后视网膜再脱离治疗的临床观察和疗效分析

Clinical observation and effect analysis of retinal redetachment treatment after silicone oil tamponade

目的：探讨硅油填充术后视网膜再脱离治疗的手术方法及临床疗效。方法：对19例19眼硅油填充术后视网膜再脱离患者,行23G巩膜双通道硅油下视网膜复位手术。术后随访观察视力、眼压、视网膜复位及并发症。结果：患者17例17眼手术后视网膜复位,成功率89%。术后1wk最佳矫正视力为手动/眼前-0.4。术后3d观察眼压升高〉21mm Hg者6眼,经降眼压治疗后均下降,术后3mo随访眼压为16.3-24.6mm Hg。结论：23G巩膜双通道硅油下视网膜复位术对早期简单的硅油填充术后视网膜再脱离有效、手术简便、安全。

AIM： To investigate surgical options and clinical outcomes of treating retinal redetachment after the initial silicone oil tamponade. METHODS： Nineteen eyes of 19 patients who had been performed silicone oil tamponade underwent 23G scleral double-channel retinal reattachment surgery in silicone oil. Visual acuity, intraocular pressure （IOP） and retinal reattachment with its complications were evaluated postoperatively. RESULTS： Retinal reattachment was achieved in 17 patients （17 eyes） after surgery, with the success rate of 89%. Best corrected visual acuity （BCVA） at lwk after surgery ranged from 0. 4 to HM/BE. Three days after surgery, lOP 〉21mmHg was observed in 6 eyes and then decreased after the therapy of lowering lOP. The lOP ranged from 16.3 - 24.6mmHg at 3too postoperatively. CONCLUSION： 23G scleral double- channel retinal reattachment surgery in silicone oil is an effective, convenient and safe method to treat retinal redetachment after initial simply silicone oil tamponade at the early stage.