折叠式人工玻璃体球囊临床应用的疗效研究  

Clinical application and consideration of foldable capsular vitreous body

作　　者：曹珊珊 孙永华 王权 姚璐 何佳 刘勇 CAO Shanshan;SUN Yonghua;WANG Quan;YAO Lu;HE Jia;LIU Yong(Department of Opthomology,Air Force Medical Center,Air Force Medical University,PLA,Beijing 100142,China)

机构地区：[1]空军军医大学空军特色医学中心眼科,北京100142

出　　处：《空军航空医学》2024年第4期340-343,共4页AVIATION MEDICINE OF AIR FORCE

摘　　要：目的本研究旨在通过临床实践对折叠式人工玻璃体球囊的应用效果和安全性进行分析,探讨其优势和局限性。方法选取2022年10月-2023年12月在空军特色医学中心行折叠式人工玻璃体球囊植入术患者5例(5只眼,硅油依赖眼2例,眼球破裂伤3例),其中男4例,女1例,回顾性分析5例患者的临床资料,包括患者的一般情况、术前和术后视力、术前和术后眼压、裂隙灯检查、眼轴长度测量、眼科B超、角膜内皮计数、球囊型号和填充硅油量等。结果 5例患者平均年龄为(28.20±9.15)岁,术后眼压(13.00±4.85)mmHg和术前眼压(9.40±4.62)mmHg相比,差异有统计学意义(t=-4.129,P=0.014)。截至2024年2月最后1次随访结束时,5例球囊位置均无偏斜、无破损,引流管均无暴露,术后最常见的并发症是前房积血和浅前房。结论折叠式人工玻璃体球囊植入术对于眼球破裂伤眼和硅油依赖眼等复杂眼病是一种安全有效的治疗方法,术后可以保持自由体位,但应注意术后并发症的及时治疗。Objective To analyze the effect and safety of foldable artificial vitreous body,and explore its advantages and limitations.Methods Five patients(five eyes)who underwent foldable artificial vitreous balloon implantation surgery at the Air Force Medical Center from October 2022 to December 2023 were selected,including four males and one female,two silicone oil dependent eye,and three eyeball rupture injuries.The clinical data of these five patients were retrospectively analyzed,including their general condition,preoperative and postoperative visual acuity,preoperative and postoperative intraocular pressure,slit lamp examination,axial length measurement,ophthalmic B-ultrasound,corneal endothelial count,balloon model,and silicone oil filling amount.Results Among the 5 patients,the mean age was(28.20±9.15).The postoperative IOP of(13.00±4.85)mmHg was significantly different from that of the preoperative IOP of(9.40±4.62)mmHg(t=-4.129,P=0.014).By the end of the last follow-up in February 2024,the position of the balloon in all three cases was not skewed or damaged,and the drainage tube was not exposed.The most common postoperative complications were hyphema and shallow anterior chamber.Conclusion FCVB implant surgery is a safe and effective method for treating ruptured eyes and silicone oil-dependent eyes.However,attention should be paid to timely treatment of complications.

关 键 词：人工玻璃体球囊 玻璃体切除术 临床应用 眼球破裂伤 硅油依赖眼 

分 类 号：R779.6[医药卫生—眼科]