Wesołek-Czernik Agata
Katedry i Kliniki Chorób Oczu Akademii Medycznej w Łodzi.
Klin Oczna. 2002;104(3-4):219-21.
The aim of this study was to evaluate the influence of silicone oil removal on intraocular pressure.
Our material consists of 98 patients (104 eyes), who underwent vitrectomy with silicone oil tamponade. Sixteen eyes in this group were aphakic before vitrectomy. The mean duration of silicone-oil tamponade was 8.8 months. We examined and compared intraocular pressure in all cases before vitrectomy, during tamponade and after silicone oil removal.
The increased intraocular pressure (> 22 mmHg) was found in 27 eyes (seven of them were aphakic) during tamponade. We had to remove silicone oil due to glaucoma in 6 eyes (three of them were aphakic). In 9 eyes (four aphakic) the intraocular pressure was higher than 22 mmHg after silicone oil removal. Seven patients required additional topical medication and 2 patients were qualified for operation--trabeculectomy. Hypotony (< 10 mmHg) was observed in 11 eyes, and it coexisted with retinal redetachment in 4 cases.
The increased intraocular pressure is a frequent complication of silicone oil tamponade, and it normalizes after silicone oil removal in most of these cases.
本研究旨在评估硅油取出对眼压的影响。
我们的研究材料包括98例患者（104只眼），这些患者接受了硅油填充玻璃体切除术。该组中有16只眼在玻璃体切除术前为无晶状体眼。硅油填充的平均时长为8.8个月。我们检查并比较了所有病例在玻璃体切除术前、填充期间及硅油取出后的眼压。
在填充期间，27只眼（其中7只为无晶状体眼）出现眼压升高（>22 mmHg）。因青光眼，我们不得不取出6只眼的硅油（其中3只为无晶状体眼）。9只眼（4只为无晶状体眼）在硅油取出后眼压高于22 mmHg。7例患者需要额外的局部用药，2例患者符合手术条件——小梁切除术。11只眼出现低眼压（<10 mmHg），其中4例与视网膜再脱离并存。
眼压升高是硅油填充的常见并发症，在大多数情况下，硅油取出后眼压会恢复正常。
