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重硅油OxaneHD在外伤性视网膜脱离手术中的应用
引用本文:吴敏,肖丽波,胡竹林,胡敏. 重硅油OxaneHD在外伤性视网膜脱离手术中的应用[J]. 眼外伤职业眼病杂志, 2011, 33(9): 648-650
作者姓名:吴敏  肖丽波  胡竹林  胡敏
作者单位:云南省第二人民医院眼科, 昆明,650021
基金项目:云南省社会发展科技计划项目
摘    要:目的分析重硅油OxaneHD在外伤性视网膜脱离中的疗效及并发症。方法外伤性视网膜脱离25例(25眼)经过标准玻璃体切除手术,应用OxaneHD填充,随访3~18个月,分析视网膜复位率和眼部并发症的发生情况。结果一次填充OxaneHD后视网膜复位率为72.0%,术复位者5例(20.0%)接受二次手术填充硅油或惰性气体后视网膜达到解剖复位,2例(8.0%)成为硅油依赖跟。观察到的主要并发症有白内障、高眼压、重硅油乳化。结论重硅油OxaneHD填充治疗外伤性视网膜脱离的疗效良好,可明显提高患眼舒适度。

关 键 词:Oxane  HD  重硅油  视网膜脱离  外伤性

Application of Oxane HD in traumatic retinal detachment
Affiliation:WU Min, XIAO Li-bo, HU Zhu-lin, et al. Department of Ophthalmology, The Second People' s Hospital of Yunnan Province. Kunming, Yunnan 650021, China
Abstract:Objective To analyze the outcome and complications of Oxane HD in treatment of traumatic retinal detachment.Methods 25 cases of traumatic retinal detachment were treated with standard vitrectomy and Oxane HD tamponade.All the cases were followed up for 3 to 18 months.The outcome and complications were analyzed.Results The anatomic reattachment rate after single surgery was 72.0%.Five cases (20.0%) that the retina was not reattached had received gas or silicone oil tamponade.Two cases (8.0%) became silicone-oil dependent eyes.Main complications included cataract,high intraocular pressure and emulsification.Conclusion Oxane HD in treating traumatic retinal detachment showed reasonable outcome and significantly improved patients' comfort.
Keywords:Oxane HD  Heavy silicone oil  Retinal detachement  traumatic
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