COMPLICATIONS AFTER HEAVY SILICONE OIL TAMPONADE IN COMPLICATED RETINAL DETACHMENT
COMPLICATIONS AFTER HEAVY SILICONE OIL TAMPONADE IN COMPLICATED RETINAL DETACHMENT
复制标题
DOI：
10.1097/iae.0b013e3181eef2fd
复制
发表时间：
2011-03-01
影响因子：
3.3
通讯作者：
Qi, Yue
中科院分区：
文献类型：
--
作者：
Duan, Anli;She, Haicheng;Qi, Yue
目的：观察重型硅油（HSO）填塞治疗复杂性视网膜脱离后的并发症。方法：回顾性研究33例复杂性视网膜脱离患者的33只眼。所有患者均进行了玻璃体切除术和 HSO 填塞术。根据需要进行其他外科手术。主要结局指标包括视网膜复位、视力、眼压、眼内炎症、晶状体混浊和HSO乳化。结果：患者随访3个月至24个月（平均8.1±5.3个月）。第一次手术有 29 只眼睛（87.9%）实现了视网膜复位，第二次手术有 33 只眼睛（100%）实现了视网膜复位。所有 33 只眼睛中的 HSO 均已被去除，视力也得到了提高。短期（术后2周内）并发症包括眼压暂时升高和前房轻度炎症。主要长期并发症包括白内障（100%）和HSO乳化症（42.4%）。其他远期并发症包括高眼压（12.1%）、视网膜脱离及增殖性玻璃体视网膜病变（12.1%）、低眼压（9.1%）。结论：重度硅油填塞治疗复杂性视网膜脱离安全、有效。最常见的并发症是白内障和 HSO 乳化。视网膜 31：547-552，2011
Purpose: To observe the complications after heavy silicone oil (HSO) tamponade in complicated retinal detachment.Methods: Thirty-three eyes of 33 patients with complicated retinal detachment were included in this retrospective study. Vitrectomy and HSO tamponade were performed in all patients. Other surgical procedures were performed as necessary. The main outcome measures included retinal reattachment, visual acuity, intraocular pressure, intraocular inflammation, lens opacity, and HSO emulsification.Results: The patients were followed up for 3 months to 24 months (average, 8.1 +/- 5.3 months). Retinal reattachment was achieved in 29 eyes (87.9%) with a first surgery and in 33 eyes (100%) with a second surgery. In all 33 eyes, HSO had been removed and the visual acuity was improved. Short-term (within 2 weeks after operations) complications included temporarily increased intraocular pressure and mild inflammation in the anterior chamber. Major long-term complications included cataract (100%) and HSO emulsification (42.4%). Other long-term complications included ocular hypertension (12.1%), retinal detachment and proliferative vitreoretinopathy (12.1%), and low intraocular pressure (9.1%).Conclusion: Heavy silicone oil tamponade is safe and effective to treat complicated retinal detachment. The most common complications are cataract and HSO emulsification. RETINA 31: 547-552, 2011