硅油填充眼视网膜脱离的手术治疗

目的探讨硅油填充眼视网膜脱离的治疗方法。方法 回顾性分析解放军总医院2年来收治的硅油填充术后发生视网膜脱离32只眼行硅油取出，视网膜前膜剥离，视网膜切开，激光光凝和眼内C₃ F₈填充手术治疗的结果 。结果视网膜完全复位28只眼，复位率为87．5%,部分复位4只眼;术后视力提高12只眼,不变16只眼，下降4只眼；术后发生并发症6只眼；其中继发性青光眼3只眼，低眼压1只眼，前房积血2只眼。结论视网膜前膜剥离、视网膜切开、眼内激光光凝、C₃ F₈填充是治疗硅油填充眼视网膜脱离的有效方法。 (中华眼底病杂志,2001,17:214-215)

The treatment of retinal detachment after silicone oil tamponades

Objective To invesligate the treatment of retinal detachment(RD) after silicone oil tamponades(SOT). Methods The records of a consecutive series of 32 eyes with redetachment of retina after SOT surgery between 1998 to 2000 were reviewed retrospectively. The surgical techniques used for these cases included remove of silicon oil,peeling of preretinal membrane, retinotomy, endolaser photocoagutation, secondary vitrectomy and C 3F 8 tamponades. Results In 28 of 32 eyes the retina was reattached (87.6%). The postoperative visual acuity was improved in 12 eyes, redused in 4 eyes and remained no change in 16 eyes. The postoperative complications in 6 eyes included secondary glaucoma(3 eyes), hypotony (1 eye) and hyphema (2 eyes). Conclusion The techniques of preretinal membrane peeling, retinotomy, endophotocoagulation and C 3F 8 tamponades can be effectively used in combination to treat the redetachment of retina after the silicone oil tamponades surgery.