硅油填充治疗儿童复杂性视网膜脱离

目的评价硅油填充治疗儿童复杂性视网膜脱离的效果及其影响因素方法回顾分析1993年6月-1997年9月行玻璃体切除联合硅油填充术治疗的14岁以下儿童复杂性视网膜脱离34例36只眼术后随访3-21个月的临床资料。结果视网膜完全复位19只眼，占52.7%；限局脱离10只眼，占27.8%；完全脱离6只眼，占16.7%，1只眼眼底不清，占2.8%。术后视力0.05以下者12只眼，占33.3%；0.05-0.2者20只眼，占55.6%；不会查视力者4只眼，占11.1%。结论硅油填充是治疗儿童复杂性视网膜脱离的有效方法，术后增生性玻璃体视网膜病变(proliferative vitreoretinopathy, PVR)的复发和前PVR的发生时手术失败的主要原因。(中华眼底病杂志,1999,15:7-8)

The efficacy of silicone oil for complicated retinal detachments in children

ObjectiveTo evaluate the efficacy and its affecting factors of silicone oil as an introocular tamponade for copmlicated retinal detachments in children(≤14 years).MethodsWe analysed retrospectively 34 cases(36 eyes) of complicated retinal detachments in children, who were performed with pars plana vitrectomy combined with silicone oil tamponade from June 1993 to November 1997.ResultsAfter 3-21 months of follow-up, the detached retinas in 19 eyes(52.7%) were reattached, in 10 eyes(27.8%) partially reattached and in 6 eyes (16.7%) redetached, 1 eye(2.8) had a media opacity that precluded evaluation of the retina. Postoperative visual acuity was less than 0.05 in 12 eyes(33.3%), and 0.05-0.2 in 20 eyes(55.6%), 2 cases(4 eyes) could not tell their visions(11.1%).ConclusionSilicone oil tamponade is an effctive therapy for complicated retinal detachments in children. The major cause of surgical fai;ure was development of recurrent proliferative vetrioretinopathy.(Chin J Ocul Fundus Dis,1999,15:7-8)