Kusserow C, Müller M
Klinik für Augenheilkunde, Universität zu Lübeck.
Klin Monbl Augenheilkd. 2008 Apr;225(4):298-301. doi: 10.1055/s-2008-1027147.
Since the early 1970 s, silicone oil injection was used for the treatment of complicated retinal detachments. Especially in this early period, the possible complications of silicone oil tamponade were difficult to assess. Today, we strive to reduce the duration of silicone oil tamponade - aiming at a removal within 3 - 6 months. A permanent tamponade is reserved for special situations.
We report on a 53-year-old male patient, who underwent retinal surgery and was followed-up for 40 years.
After a blunt trauma at the age of 13 the patient developed a macula-off retinal detachment. An encircling procedure (Arruga suture) with combined incomplete silicone oil injection was performed. Best corrected visual acuity (BCVA) preoperatively was 20 / 60 and 20 / 100 was attained postoperatively. As a complication of silicone oil tamponade a localised cataract formation was observed. At the last visit BCVA was 20 / 200. No other silicone oil-related complications were noticed.
Long-term silicone oil tamponade over a considerable period of 40 years was well tolerated without significant complications. The incomplete silicone oil filling of the vitreous cavity may be responsible for the lack of serious side effects and segmental cataract.
自20世纪70年代初以来，硅油注射被用于治疗复杂性视网膜脱离。特别是在早期，硅油填塞的可能并发症难以评估。如今，我们努力缩短硅油填塞的时间——目标是在3至6个月内取出。永久性填塞仅用于特殊情况。
我们报告一名53岁男性患者，其接受了视网膜手术并接受了40年的随访。
该患者13岁时因钝挫伤发生黄斑脱离视网膜脱离。进行了环形手术（阿鲁加缝合）并联合不完全硅油注射。术前最佳矫正视力（BCVA）为20/60，术后达到20/100。作为硅油填塞的并发症，观察到局限性白内障形成。在最后一次随访时，BCVA为20/200。未发现其他与硅油相关的并发症。
40年的长期硅油填塞耐受性良好，无明显并发症。玻璃体腔不完全硅油填充可能是缺乏严重副作用和节段性白内障的原因。
