巩膜扣带术联合视网膜激光光凝治疗硅油填充眼复发性视网膜脱离

Scleral buckling combined with retinal laser photocoagulation in the treatment of recurrent retinal detachment in silicone oil-filled eyes

目的:探讨巩膜扣带术联合术后视网膜激光光凝治疗硅油填充眼复发性视网膜脱离的疗效。方法:回顾性研究。选取2019-03/2022-03就诊于大连市第三人民医院眼科一病房行巩膜扣带术联合术后视网膜激光光凝治疗硅油填充状态下视网膜脱离的患者23例23眼。比较手术前后最佳矫正视力(BVCA)、眼压、视网膜复位情况以及并发症。结果:末次随访时,23眼中20眼视网膜复位,复位率87%。术后3、6mo BCVA均较术前提高(均P<0.05)。术后早期眼压出现短暂升高后恢复术前水平。3眼出现硅油移位并发症,予以对症处理后前房完全由房水填充或前房残余少量硅油滴远离角膜内皮,对角膜内皮未造成不良影响。结论:巩膜扣带术联合视网膜激光光凝治疗硅油填充眼复发性视网膜脱离安全有效。

AIM:To investigate the effect of scleral buckling combined with laser photocoagulation for the treatment of recurrent retinal detachment in silicone oil-filled eyes.METHODS:Retrospective study.A total of 23 patients(23 eyes)with retinal detachment in silicone oil-filled eyes who were treated in the first ward of ophthalmology department at Dalian No.3 People's Hospital with scleral buckling and laser photocoagulation from March 2019 to March 2022 were selected.The best corrected visual acuity(BVCA),intraocular pressure,retinal reattachment and complications were compared before and after surgery.RESULTS:At the last follow-up,20 eyes of 23 eyes were reattached,with a reattachment rate of 87%.BCVA at 3 and 6mo after operation was higher than that before operation(all P<0.05).The intraocular pressure increased temporarily in the early period after operation and then recovered to the preoperative level.A total of 3 eyes had silicone oil displacement.After symptomatic treatment,the anterior chamber was completely filled with aqueous humor or a small amount of residual silicone oil drops in the anterior chamber were far away from the corneal endothelium,which had no adverse effect on the corneal endothelium.CONCLUSION:Scleral buckling combined with retinal laser photocoagulation is safe and effective in the treatment of recurrent retinal detachment in silicone oil-filled eyes.