硅油充填及其取出术后眼部并发症的临床观察

（１）目的 观察硅油充填及其取出术后眼部并发症的转归。（２）方法 回顾性分析５８例（６０只眼）硅油取出术前后眼部并发症的发生情况。（３）结果 硅油充填术后并发症包括硅油乳化、白内障、青光眼、角膜病变、其并发症的发生率随时间延长而增高。取出硅油前角膜病变７只眼，取硅油后２只眼恢复透明，４只眼角膜混浊减轻，１只眼混浊程度无改善；继发性青光眼８只眼，取出硅油后６只眼眼压恢复正常，２只眼应用抗青光眼药物可

THE COMPLICATIONS ASSOCIATED WITH SILICONE OIL FILLING AND ITS REMOVAL IN VITREORETINAL SURGERY

Objective To investigate the complications associated with silicone oil filling and its removal in vitreoretinal surgery. Methods Retrospective analysis of the results of silicone oil removal before and after vitreous surgery for retinal detachment in 60 eyes. Results The complications related to silicone oil tamponade included emulsification of the silicone oil, cataract, glaucoma, keratopathy. The incidence increased with the time of silicone oil removal went on. Two of 7 eyes with keratopathy recovered after removal of silicone oil, four eyes improved. Six of 8 eyes with secondary ocular hypertension were controlled and two were medicated after the removal. The development of cataract continued. Conclusion The silicone oil should be removed early in due time. The ocular hypertension and keratopathy can then be prevented, but the occurrence of cataract can not be avoided by early and completed removal of silicone oil. [