25G辅助巩膜外加压术治疗硅油眼视网膜脱离的疗效观察
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新疆维吾尔自治区优秀青年科技创新人才培养项目(No.2014721039)


Clinical observation of scleral buckling with 25G for retinal detachment eyes with silicon oil tamponaded
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Science and Technology Innovation Training Program for Excellent Youth in Xinjiang Uygur Autonomous Region(No.2014721039)

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    摘要:

    目的:观察25G辅助巩膜外加压术治疗硅油眼视网膜脱离的疗效。

    方法:回顾性分析硅油填充术后出现视网膜脱离的患者15例15眼行25G辅助直视下巩膜外加压术后3~6mo患者的视网膜复位、最佳矫正视力(best corrected visual acuity,BCVA)及眼压情况。

    结果:术前患者15 例15眼均存在3:00~9:00位范围内的视网膜脱离; 术后视网膜解剖复位13例13眼,未复位2 例2眼。术后1mo最佳矫正视力提高1行以上者11例11眼,视力变化1行以内者3例3眼,视力下降1行以上者1例1眼。术后早期部分患者存在眼压升高现象,药物控制后可恢复正常。

    结论:25G辅助直视下巩膜外加压术治疗硅油眼视网膜脱离疗效确切。

    Abstract:

    AIM: To observe the effect of 25G-assisted scleral buckling under direct vision in the treatment of retinal detachment in silicone oil-filled eyes.

    METHODS: In the retrospective case study, 15 eyes of 15 patients who had retinal detachment after silicone oil filling were treated with 25G-assisted scleral buckling under direct vision. Experimental patients were followed up for 3-6mo to observe the retinal reattachment, visual acuity and intraocular pressure.

    RESULTS: There were 15 eyes of 15 patients with inferior retinal detachment before operation. Retinal reattachment was achieved in 13 eyes(13 patients), and retina failed to be reattached in 2 eyes(2 patients)after operation. Furthermore, postoperative visual acuity was found to be improved more than one line in 11 eyes(11 patient), unchanged in 3 eyes(3 patients), and decreased more than one line in 1 eye(1 patient). Meanwhile, early postoperative intraocular pressure increased in some patients and returned to normal after drug control.

    CONCLUSION: The 25G-assisted scleral buckling under direct vision has a definite curative effect in the treatment of retinal detachment in silicone oil-filled eyes.

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高云仙,赵勇,王雁,等.25G辅助巩膜外加压术治疗硅油眼视网膜脱离的疗效观察.国际眼科杂志, 2018,18(2):356-359.

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  • 收稿日期:2017-08-19
  • 最后修改日期:2018-01-02
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  • 在线发布日期: 2018-01-19
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