硅油充填眼复发性视网膜脱离的手术治疗  

The surgery for recurrent retinal detachment in eyes filled with silicone oil

作　　者：罗翠平[1] 李娜[1] 徐蕾[1] 焦亮亮[1] 

机构地区：[1]河南省平顶山煤业集团总医院眼科,河南平顶山467000

出　　处：《中国民康医学》2010年第18期2317-2318,共2页Medical Journal of Chinese People’s Health

摘　　要：目的:探讨硅油充填眼复发性视网膜脱离的原因、手术方法选择及临床疗效。方法:对45例(45眼)硅油充填眼复发性视网膜脱离的原因、手术方式选择、解剖复位和视功能恢复结果进行回顾性分析。结果:30眼选择硅油取出、剥膜、再次眼内硅油或C3F8充填,24眼复位;6眼选择硅油下膜剥离、内排液、硅油补充、眼内光凝,5眼复位;8眼选择巩膜外冷凝联合扣带术,7眼复位;1眼视网膜下方局限脱离,未见明显增殖膜及明确裂孔者,在脱离视网膜后界行视网膜激光光凝。视功能提高者38眼。结论:硅油充填眼复发性视网膜脱离多以下方为主,术后增殖膜的形成牵拉是造成硅油充填眼发生复发性视网膜脱离的主要原因,根据不同的眼底表现选择不同的手术方法,仍可获得较为理想的疗效。Objective：To discuss the causes,surgery method and clinical effectiv in patients with recurrent retinal detachment that filled with silicone oil.Methods：The data of 45 cases（45 eyes） with recurrent reinal detachment that filled with silicone oil was reviewed,which in causes,surgery choice,anatomic and visual function reduction.Results：In 30 eyes,silicone oil was took out,membrane peelled,and re-filled with oil or C3F8,and reset in 24 eyes.In 6 eyes,the membrane peelled,intra-drain,silicone oil supplement,intraocular photocoagulate were done,and reset in 5 eyes.In 8 eyes,extrasclera cryoapplication assoicated with sclera buckling was done and reset in 7 eyes.In remainder eye,retinal detachment was inferior limited without obvious proliferation membrane and tearing,retinal laser photocoagulation was done on post-boundary of the detachment.Visual function recoveried in 38 eyes.Conclution：In patients with recurrent retinal detachment filled with silicone oil,the detachment is more inferior,and primary cause of recurrent retinal detachment is traction of proliferation membrane postoperation.It might be ideal effective after the surgery choiced according as fundus conditions.

关 键 词：硅油充填眼 复发性视网膜脱离 

分 类 号：R774.12[医药卫生—眼科]