5-YEAR RESULTS OF VITRECTOMY AND SILICONE OIL IN PATIENTS WITH PROLIFERATIVE VITREORETINOPATHY
5-YEAR RESULTS OF VITRECTOMY AND SILICONE OIL IN PATIENTS WITH PROLIFERATIVE VITREORETINOPATHY
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DOI：
10.1097/00006982-199313040-00003
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发表时间：
1993-01-01
影响因子：
3.3
通讯作者：
POST, J
中科院分区：
文献类型：
--
作者：
VANMEURS, JC;MERTENS, DAE;POST, J
本研究的目的是评估硅油在玻璃体切除术治疗增生性玻璃体视网膜病变（PVR）患者中的应用效果。作者回顾了1987年连续手术的50例（52只眼）Cl/D3级PVR患者的5年结果。42只眼睛取出了硅油。38只眼睛的视网膜仍然附着在上面。12只眼睛的视敏度为手指计数，19只眼睛的视敏度为0.1或更高。青光眼被认为是最初改善后视力下降的主要原因（9只眼），也是最常见的手术并发症（13只眼）。在10只手术眼中，硅油被认为是不可去除的。为了解患者对硅油使用的认知，我们设计了一份问卷，共有46名患者填写了问卷。四名患者表示他们不会选择再次手术。6名患者认为手术不值得，但允许再次治疗。大多数患者认为已经有了适度的改善，视力稳定了。主观上，大多数患者认为手术是值得的。
The purpose for this study was to evaluate the results of silicone oil use in patients who have undergone vitrectomy for proliferative vitreoretinopathy (PVR). The authors reviewed the 5-year results of 50 consecutive patients (52 eyes) with grade Cl/D3 PVR operated on in 1987. Silicone oil has been removed in 42 eyes. The retina remained attached in 38 eyes. Visual acuities were finger counting in 12 eyes and 0.1 or greater in 19 eyes. Glaucoma was thought to be the major cause of loss of visual acuity after an initial improvement (9 eyes), as well as the most frequent complication of surgery (13 eyes). Silicone oil was deemed nonremovable in 10 operated eyes. A questionnaire was developed to determine the patients' perceptions of the use of silicone oil, and 46 patients responded to the questionnaire. Four patients indicated that they would not have elected to have surgery again. Six patients thought that surgery was not worthwhile, but would permit treatment again. Most patients thought that a modest amount of improvement had taken place and that vision was stable. Subjectively, most patients believed that surgery was worthwhile.