[1]王文战△,胡媛媛,陈晓君,等.硅油取出术中眼内探查的意义[J].郑州大学学报(医学版),2012,(01):105.
 WANG Wenzhan,HU Yuanyuan,CHEN Xiaojun,et al.Clinical analysis of intraocular exploration during silicone oil removal[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2012,(01):105.
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硅油取出术中眼内探查的意义
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2012年01期
页码:
105
栏目:
应用研究
出版日期:
2012-01-20

文章信息/Info

Title:
Clinical analysis of intraocular exploration during silicone oil removal
作者:
王文战胡媛媛陈晓君闫磐石
郑州大学第一附属医院眼科 郑州 450052
Author(s):
WANG WenzhanHU YuanyuanCHEN XiaojunYAN Panshi
Department of Ophthalmology, the First Affiliated Hospital,Zhengzhou University, Zhengzhou 450052
关键词:
硅油取出术视网膜眼内探查
Keywords:
silicone oil removalretinaintraocular exploration
分类号:
R276.7
摘要:
目的:探讨硅油取出术中眼内探查的意义。方法:收集拟行硅油取出术,同时行眼内探查术的患者61例(61眼),观察手术前后患者视力及视网膜恢复情况。结果:术后矫正视力较术前改善(P<0.05)。53例因术前合并增生性玻璃体视网膜病变、并发性白内障、硅油乳化等在硅油取出术中对眼底进行探查及处理,并取出硅油,术后检查50例(82.0%)视网膜恢复良好,3例出现复发性视网膜脱离;8例因视网膜恢复不佳,术中行剥膜、激光、冷凝等处理,延期取出硅油。结论:硅油取出术中眼内探查可了解硅油填充眼的视网膜恢复情况,增加术前眼底检查不理想者硅油取出的可能性。
Abstract:
Aim:To study the significance of intraocular exploration in silicone oil removal.Methods:A total of 61 silicone oil filled eyes that were going to perform silicone oil removal and exploration were collected.The visual acuity and situations of retinal reattachment before and after operation were observed.Results:The corrected visual acuity improved after operation(P<0.05).Fiftythree eyes with PVR, complicated cataract,or silicone emulsion were treated with the intraocular exploration and removal of silicone oil.Among the 53 eyes,50 had good retinal reattachment and 3 had recurrent retinal detachment.The other 8 eyes did not perform the silicone oil removal after the intraocular exploration,and were treated with peeling membrance, photocoagulation,or cryotherapy.Conclusion: Intraocular exploration could supply more information of the retina of the patient with silicone oil,and increase the possibility of silicone oil removal.

参考文献/References:

[1]徐鼎,董方田.硅油眼内填充后的并发症[J].国际眼科纵览,2006,30(2):123 [2]Gonvers M. Temporary silicone oil tamponade in the management of retinal detachment with proliferative vitreoretinopathy [J]. Am J Ophthalmol,1985,100(2):239 [3]McCuen BW 2nd, de Juan E Jr, Landers MB 3rd,et al. Silicone oil in vitreoretinal surgery.Part2:Results and complications [J].Retina, 1985,5(4):198 [4]张少冲,李松峰,刘恬,等.硅油长期充填眼部改变及取出原因和结果[J].中国实用眼科杂志,2004,22(4):269 [5]翟文娟.硅油填充后的眼部并发症及取出原则[J].眼科新进展,2002,22(6):423 [6]滕学龙,贾志旸,马景学,等.长期硅油填充眼的眼部并发症及取出原则[J].眼科新进展,2006,26(5):377

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备注/Memo

备注/Memo:
doi:10.3969/j.issn.16716825.2012.01.034 △男,1963年2月生,硕士,副教授,研究方向:眼底病与眼外伤,Email:wangwenzhan@371.net
更新日期/Last Update: 1900-01-01