Heavy silicone oil as internal tamponade for retinal detachment: Efficacy and tolerance
Heavy silicone oil as internal tamponade for retinal detachment: Efficacy and tolerance
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DOI：
10.1016/s0181-5512(06)73760-3
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发表时间：
2006-02-01
影响因子：
1.2
通讯作者：
Sahel, JA
中科院分区：
文献类型：
--
作者：
Scheer, S;Boni, S;Sahel, JA
简介：目的：评价视网膜脱离手术中应用重硅油内填充的耐受性和有效性。方法：回顾性分析66例视网膜脱离患者，随访1个月以上。术前状态，手术技术，公差，解剖和功能结果进行了分析，从病人的档案。重度硅胶注射的适应症为65%病例的下视网膜切开术或下牵开术。至少63%的病例存在PVR C级。45%的病例进行了视网膜切开术。在65%的病例中进行了与DKIine的交换手术。平均随访时间为7 +/- 4 months.Results：随访结束时，59%的患者视网膜完全复位，32%的患者无内部填塞。54%的病例需要再次手术。随访期间，平均眼压正常，3例（4.5%）有明显的眼内炎症。在44例重硅油消融中，有7例存在残留气泡粘附。41%的病例在解剖成功消融后发生再分离。BCVA优于0.05（20/400），在54%的情况下，在follow-up.Conclusion结束时：重型硅胶耐受性良好，似乎不是促炎症在我们的研究。对于下方视网膜切开术和下方断裂（无PVR），它是标准硅胶的良好替代品。它不是一种下回缩的治疗，也不是一种长期的内部填塞。在重硅油消融期间，残留气泡可能粘附，在这种情况下，消融期间可能需要同轴光或腔内照明。
Introduction: To evaluate the tolerance and efficacy of heavy silicone oil as internal tamponade for retinal detachment surgery.Patients and methods: Sixty-six eyes requiring heavy silicone oil for retinal detachment, with at least 1 month follow-up, were retrospectively studied. Preoperative status, surgical technique, tolerance, and anatomical and functional results were analyzed from the patient's file. Indications for heavy silicone injection were inferior retinotomy or inferior retraction in 65% of cases. PVR grade C was present in at least 63% of cases. Retinotomy was performed in 45% of cases. An exchange procedure was performed versus DKIine in 65% of cases. Mean follow-up was 7 +/- 4 months.Results: At the end of follow-up, 59% of eyes had a completely reattached retina, 32% without internal tamponade. Another surgery was necessary in 54% of cases. During follow-up, mean intraocular pressure was normal, and there was a significant intraocular inflammation in three cases (4.5%). In seven cases of the 44 ablations of heavy silicone oil, an adherence of residual bubbles was present. Redetachment occurred after ablation for anatomical success in 41% of cases. BCVA was better than 0.05 (20/400) in 54% of cases at the end of follow-up.Conclusion: Heavy silicone was well tolerated and seems not to be pro-inflammatory in our study. It is a good alternative to standard silicone for inferior retinotomy and inferior breaks without PVR. It is not a treatment of inferior retraction, and is not a long-term internal tamponade. During the ablation of heavy silicone oil, adherence of residual bubbles is possible, in which case a coaxial light or an endoillumination could be needed during ablation.