SILICONE OIL INSERTION - A REVIEW OF 127 CONSECUTIVE CASES
SILICONE OIL INSERTION - A REVIEW OF 127 CONSECUTIVE CASES
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DOI：
10.1111/j.1442-9071.1995.tb01641.x
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发表时间：
1995-02-01
期刊：
影响因子：
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通讯作者：
CAIRNS, JD
中科院分区：
文献类型：
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作者：
FISK, MJ;CAIRNS, JD
采用硅油联合玻璃体切割术治疗复杂性视网膜脱离127例。 平均随访32个月后，120例（94%）的初始解剖成功率降至68例（54%），这归因于持续的增生性玻璃体视网膜病变（PVR）。 硅油的使用适应症为：1. 视网膜脱离合并PVR 107例，其中20例需多次手术。 59例（55%）获得解剖成功，其中23例（40%）的视力为6/60.2。 巨大视网膜裂孔7例。 其中4例（57%）保持附着，3例（75%）最终视力为6/36.3。 GRT合并PVR（8例）。 4例（50%）解剖成功，2例最终视力为6/60.4。 糖尿病视网膜病变5例。 23眼选择性取出硅油，其中16眼（70%）解剖成功。 由于并发症，43只眼睛被去除了油，其中20只（46%）在随访结束时视网膜仍然附着。 并发症包括白内障14只眼，角膜发红19只眼（15%），角膜混浊52只眼（41%），其中35/85只眼（41%）和29只眼（12/29只眼，41%）行虹膜下部切除术，无明显差异;眼压升高55只眼（43%）。 我们的结论是，虽然远非理想，硅油似乎发挥了一定的作用，在实现本研究报告的成功结果。
Silicone oil was used in combination with vitrectomy to treat 127 cases of complicated retinal detachments. An initial anatomic success in 120 cases (94%) was reduced to 68 (54%) after an average follow-up of 32 months and was attributable to ongoing proliferative vitreoretinopathy (PVR). The indications for the use of silicone oil were:1. Retinal detachment complicated by PVR (107 cases), 20 of which required multiple operations. Anatomic success was achieved in 59 (55%) and of these 23 (40%) had a visual acuity of 6/60.2. Giant retinal tears (GRT) (7 cases). Four (57%) of these remained attached, three (75%) having a final vision of 6/36.3. GRTs complicated by PVR (8 cases). Four (50%) were anatomically successful and two had a final vision of 6/60.4. Proliferative diabetic retinopathy (5 cases). Two (40%) remained attached and one of these (50%) had hand movements vision.The silicone oil was removed electively in 23 eyes, 16 (70%) of these being anatomically successful. Oil was removed in 43 eyes because of complications, and in 20 (46%) of these, the retina remained attached at the end of follow-up. Complications included cataract in all 14 phakic eyes; rubeosis in 19 eyes (15%); corneal opacification in 52 eyes (41%), there being no clear cut difference between those eyes with an inferior iridectomy (35 of 85 eyes - 41%) and those without (12 of 29 eyes - 41%); and raised intraocular pressure in 55 eyes (43%). We conclude that although far from being ideal, silicon oil appears to have played some part in achieving the successful results reported in this study.