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目的 探讨应用重硅油填充治疗硅油填充眼复发性视网膜脱离的价值。方法 对硅油填充眼复发性视网膜脱离12例12眼进行玻璃体切割联合重硅油填充术治疗，术中根据病情联合视网膜切开、剥膜、视网膜光凝、视网膜电凝、重水应用、气液交换、白内障超声乳化吸出等处理，对手术疗效、术后并发症等进行随访和评价。结果 术后随访6～24个月，8例（占66.7%）在重硅油取出后视网膜完全复位，术后视力5只眼提高，6只眼不变，1只眼下降，3只眼发生硅油乳化（占25.0%），眼压升高2只眼（占16.7%），前房炎症反应2只眼（占16.7%），2只有晶状体眼中1只发生白内障（占50.0%）。结论 重硅油填充治疗硅油眼复发性视网膜脱离是安全有效的。
当前位置：首页 / 玻璃体腔重硅油填充治疗硅油填充眼复发性视网膜脱离的临床研究▲
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更新时间：2015-07-24
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玻璃体腔重硅油填充治疗硅油填充眼复发性视网膜脱离的临床研究▲
Clinical research of intravitreal heavy silicone oil tamponade for the treatment of recurrent retinal detachment of silicone oilfilled eyes
微创医学 201503期 页码：272-274
作者机构：（广西壮族自治区人民医院眼科、广西眼科中心，南宁市530021）
基金信息：▲基金项目：广西自然科学基金（编号：2011GXNSFA018228）；广西区卫生厅自筹课题（编号：桂卫z2013323）作者简介：崔凌（1979～），男，硕士研究生，主治医师，研究方向：玻璃体视网膜显微眼科。（收稿日期：20150219修回日期：20150413）
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- 英文简介
- 参考文献
Objective To evaluate the value of heavy silicone oil tamponade for recurrent retinal detachment of silicone oilfilled eyes. Methods Vitrectomy combined with intraocular heavy silicone oil tamponade was performed in 12 patients (12 eyes) with recurrent retinal detachment of silicone oilfilled eyes. Depending on intraoperative situation, patients accepted extra operations like retinotomy, membrane peeling, retinal photocoagulation, retinal electrocoagulation, heavy water application, airfluid exchange or phacoemulsification. The surgical efficacy and postsurgical complications were followed up and assessed. Results The followedup period was 6 to 24 months. During the followup, Reattachment of retina was found in 8 cases (66.7%). The visual acuity after the operation was improved in 5 cases, sustained in 6 cases, declined in one case. There were 3 cases with silicon oil emulsification (25.0%), 2 cases with increased intraocular pressure (16.7%), and 2 cases with anterior chamber inflammation (16.7%). Cataract was found in one of two eyes with normal lens (50.0%). Conclusions Heavy silicone oil tamponade is effective for recurrent retinal detachment in silicone oilfilled eyes.
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