摘要
目的探讨折叠式人工玻璃体球囊(foldable capsular vitreous body,FCVB)治疗外伤性硅油依赖眼的临床疗效。方法回顾性分析2018年8月至2019年12月人工玻璃体球囊FCVB植入术患者6例(6只眼)的临床资料,包括性别、年龄、全身疾病史、术前及术后视力和眼压、外伤情况、手术时间、手术次数、手术方式、裂隙灯检查、临床特殊检查(如B超、角膜内皮检查等),评价FCVB植入的疗效。结果截至2020年3月最后一次随访结束时,3例患者为无光感、3例为光感;平均眼压(6.71±0.88)mmHg[(0.89±0.12)kPa];3例角膜直径小于正常、3例角膜直径正常;3例发生不同程度角膜混浊、3例角膜保持透明;除1例患者在最近一次复诊时主诉手术眼异物感外,其余患者无明显不适;所有患者均对FCVB植入手术表示满意;6例患者均未发生引流阀暴露、FCVB破裂、硅油漏出等并发症。结论严重眼外伤后硅油依赖眼通过植入FCVB可以很好维持眼球,保留残存的视功能及眼球外观,患者满意度较高、并发症较少,安全有效。
Objective To investigate the clinical efficacy of foldable capsular vitreous body(FCVB)in the treatment of traumatic silicone oil-dependent eyes.Methods Data of 6 patients who received FCVB implantation(6 eyes)between December 2018 and August 2019 were analyzed retrospectively,including gender,age,history of systemic disease,preoperative and postoperative visual acuity,intraocular pressure,trauma,operation time,operation frequency,operation method,slit-lamp examination,and clinical special inspections(B ultrasound,corneal endothelium examination,etc.).The efficacy of FCVB implantation was evaluated.Results At the end of the last follow-up in March 2020,3 patients had no light perception,and 3 patients recovered vision of light perception.The average intraocular pressure was(6.71±0.88)mmHg.Corneal diameter was less than normal in 3 cases,and corneal diameter was normal in 3 cases.Different degrees of corneal opacity were observed in 3 cases,and corneal transparency was found in 3 cases.Except for one patient who complained of ocular foreign body sensation at the last visit,the other patients had no obvious discomfort.All patients were satisfied with FCVB implantation.No complications such as valve exposure,FCVB rupture and silicone oil leakage occurred in all patients.Conclusion FCVB implantation in silicone oil dependent eyes after severe ocular trauma can maintain eyeball well,preserve visual function and eyeball appearance,improve patient satisfaction,and reduce complications,thus providing a safe and effective treatment for traumatic silicone oil dependent eyes.
作者
苏鹏
孔祥斌
黄玉娟
李昕
SU Peng;KONG Xiang-bin;HUANG Yu-juan;LI Xin(Department of Ophthalmology,Foshan Second People’s Hospital,Foshan 528000,China)
出处
《实用临床医学（江西）》
CAS
2020年第7期52-54,65,共4页
Practical Clinical Medicine
关键词
硅油依赖眼
折叠式人工玻璃体球囊
治疗
silicone oil dependent eyes
foldable capsular vitreous body
treatment
