视网膜脱离术后硅油取出时机的探讨

目的探讨玻璃体切除、硅油注入治疗视网膜脱离术后，硅油取出的最佳时机。方法对６例（１００只眼）不同时机硅油取出眼硅油并发症的发生率用统计学方法分析。结果随着硅油取出嵤奔涞难映伲栌筒⒎⒅⒎⑸试黾印９栌妥⑷胧鹾螅掣鲈履谟耄蹈鲈潞蟆ⅲ蹈鲈履谟耄蹈鲈潞蠊栌蛵取出眼比较，硅袖井发症发生率差异均有显著性；硅油注入１８个月后行硅油取出者，硅油并发症发生嵚蚀铮保埃埃ァ＝崧酃栌腿〕鲇υ诠栌妥⑷胧鹾螅陡鲈履诮校鹤罴咽被鹾螅病掣鲈隆

The best timing of silicone oil removal]

OBJECTIVE: The study was designed to approach the best timing of silicone oil removal after its injection into the vitreous cavity in vitrectomy for reattachment of retinal detachment. METHODS: The silicone removal was performed on 100 eyes of 96 patients, and the incidence of silicone complications was analyzed statistically. RESULTS: The complication incidence increased with the time of silicone oil removal delayed. There are statistically significant differences in the complication incidence not only between the group with silicone oil removal within 3 months and the group with the removal later than 5 months, but also between the group with the removal within 5 months and the group with the removal later than 5 months. The complication incidence was 100% in the group in which the silicone oil was removed later than 18 months after its injection. CONCLUSIONS: The silicone oil should be removed no longer than 6 months after its injection, and the best timing to remove the oil is 2 to 3 months.