Densiron 68 眼内填塞治疗复杂性视网膜脱离的临床效果。
Clinical results of Densiron 68 intraocular tamponade for complicated retinal detachment.
机构信息
State Key Laboratory Cultivation Base, China National Optometry Center, Eye Hospital, Wenzhou Medical College, Wenzhou, PR China.
出版信息
Ophthalmologica. 2010;224(6):354-60. doi: 10.1159/000313817. Epub 2010 May 4.
PURPOSE
To assess the success rates and complications of Densiron 68 intraocular tamponade in the management of complicated retinal detachment (RD) with proliferative vitreoretinopathy (PVR).
METHODS
Twenty-one eyes of 20 patients with complicated RD and PVR were included in this prospective study. Vitreoretinal surgery with Densiron 68 intraocular tamponade was performed in all patients.
RESULTS
The success rate with 1 operation using Densiron 68 was 85.7%, and with further surgery 90.5%. Visual acuity improved from a mean logMAR of 2.25 (SD 0.73) to 1.19 (SD 0.88), p = 0.0001. There was little evidence of dispersion and excessive inflammation.
CONCLUSION
According to the results of this study, vitreoretinal surgery with temporary Densiron 68 intraocular tamponade appears to increase the anatomical success and improve visual acuity, while giving rise to minimal complications, in selected cases of complicated RD and PVR.
目的
评估 Densiron 68 眼内填充在增生性玻璃体视网膜病变（PVR）合并复杂性视网膜脱离（RD）治疗中的成功率和并发症。
方法
本前瞻性研究纳入 20 例 21 眼 PVR 合并复杂性 RD 患者。所有患者均行玻璃体视网膜手术联合 Densiron 68 眼内填充。
结果
单次手术成功率为 85.7%，进一步手术成功率为 90.5%。视力从平均 logMAR 2.25（标准差 0.73）提高到 1.19（标准差 0.88），p=0.0001。弥散和过度炎症的证据很少。
结论
根据本研究结果，在选择的复杂性 RD 和 PVR 病例中，玻璃体视网膜手术联合暂时性 Densiron 68 眼内填充似乎可以提高解剖成功率，改善视力，同时引起最小的并发症。
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