硅油充填术后复发性视网膜脱离的临床研究  

A Clinical Study of Recurrent Retinal Detachment in Silicone Oil-Retained Eye

作　　者：干德康[1] 徐格致[1] 王文吉[1] 

机构地区：[1]复旦大学附属眼耳鼻喉科医院眼科,上海200031

出　　处：《中国眼耳鼻喉科杂志》2004年第4期240-241,共2页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的分析硅油填充术后带油情况下视网膜再脱离常见原因和再次手术的方法。方法 54例54眼合并严重增殖性玻璃体视网膜病变(proliferative vitreoretinopathy,PVR)的视网膜脱离行硅油填充术后带油视网膜再脱离的病例进行临床回顾研究。结果 54眼后段检查:下方视网膜脱离37眼(68.5%),明确视网膜裂孔35眼中22眼见下方裂孔(62.9%),形成视网膜前增殖41眼中22眼位下方(53.7%)。51眼再次手术治疗,其中38眼行硅油取出联合玻璃体术式,视网膜复位率92.1%(35/38)。7眼行巩膜手术,视网膜复位5眼。结论带油眼视网膜的病理生理改变主要位于下方,大部分病例可通过再次手术获得成功。Purpose To present the reasons of recurrent retinal detachment(RRD)in oil-retained eyes and evaluate the management of RRD.Methods Records of 54 patients(54 eyes,38 males,16 females)were retrospectively reviewed. Results All the eyes with RRD were examined.37 eyes(68.5%)had recurrent inferior retinal detachment.The inferior open retinal breaks were noticed in 22 of 35 eyes with breaks(62.9%).The reformation of inferior proliferation within vitreous cavity was seen in 53.7% of 41 eyes with proliferation.51 eyes were operated on again.Among them 38 eyes had vitreoretinal surgery after silicone oil was removed.The last follow-up data of completed retinal reattachment(CRR)was 35 eyes(35/38).7 oil-retained eyes underwent scleral buckling surgery.The data of CRR was 5 eyes.Conclusion The result indicated that the pathological and physical change in oil-retained eye was most often in the inferior retina.The retinal reattachment could be obtained in most eyes after subsequent surgery.

关 键 词：复发性视网膜脱离 硅油充填术 增殖性玻璃体视网膜病变 手术方法 适应症 

分 类 号：R779.6[医药卫生—眼科]