摘要
目的探讨孔源性视网膜脱离硅油填充及取油术后并发症、视网膜复位情况及视力的变化。方法回顾性病例系列研究。选取上海交通大学附属第一人民医院眼科自2015年3月至2016年2月因孔源性视网膜脱离行硅油取出术的患者53例53只眼，观察硅油填充期间及取油术后3月内最佳矫正视力、眼部并发症及视网膜复位情况。结果硅油填充期间22例（41．5％）患者曾发生继发性青光眼，15例（34．9％）发生晶状体混浊，8例（15．1％）发生硅油乳化，BCVA下降12例。硅油取出术后，2例（3．8％）患者视网膜再次脱离，2例（3．8％）出现玻璃体混浊，1例（2．0％）出现少许前房积血，1例（2．0％）术后2月出现并发性白内障，1例（2．0％）患者术后一周出现眼内炎症，1例（2．0％）术后高眼压，并发症经过处理后好转。取油术后3个月BCVA与硅油填充期间最好的矫正视力比较差异无统计学意义（n=51，t=-1．147，P=0．257），另外有2例患者硅油填充期间出现原因不明大幅视力下降。结论硅油填充是治疗复杂性视网膜脱离的有效方法，硅油所致的并发症大部分可以治疗和预防，但是极少数病例可出现不明原因的视力下降。
Objective To discusses the postoperative complications, the retina reset condition and the vision change of the rhegmatogenous retinal detachment silicone oil injection. Methods A retro- spective case series. Fifty-three patients （53 eyes） with silicone oil removal surgery due to rhegmatog- enous retinal detachment in Department of Ophthalmology of Shanghai First People＇s Hospital of Shanghai Jiaotong University were selected from March 2015 to February 2016. The data of best corrected visual acuity, ocular complications and retinal restoration during silicone oil filling and with- in 3 months after oil extraction were observed. Results During the silicone oil injection, 22 cases （41.5%） were once found to have the secondary glaucoma, 15 cases （34.9%） were found to have an obvious phacoscotasmus, 8 cases （5.1%） were found to have an obvious silicone oil emulsification, 12 cases were found to have BCVA diminution. After the removal of silicone oil, 2 cases （3.8%） were found to have vitreous opacity, 1 case （2.0%） was found to have a little hyphema, l case （2.0%） was found to have complicated cataract 2 months after the operation, 1 case （2.0%） was found to have intraocular inflammation 1 week after the operation, 1 case （2.0%） was found to have intraocular hypertension after the operation but the complication got better after treatments. There was no statistic difference of BCVA 3 months after the removal of silicone oil comparing with the BCVA during the silicone oil injection （n =51, t =-1.147, P =0.257）. There were 2 other cases found to have great diminution of vision during the silicone oil injection with unknown causes.
出处
《中国实用眼科杂志》
2017年第2期122-126,共5页
Chinese Journal of Practical Ophthalmology
