Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, Beijing Ophthalmology and Visual Science Key Lab, Beijing, China.
Retina. 2011 Mar;31(3):547-52. doi: 10.1097/IAE.0b013e3181eef2fd.
To observe the complications after heavy silicone oil (HSO) tamponade in complicated retinal detachment.
Thirty-three eyes of 33 patients with complicated retinal detachment were included in this retrospective study. Vitrectomy and HSO tamponade were performed in all patients. Other surgical procedures were performed as necessary. The main outcome measures included retinal reattachment, visual acuity, intraocular pressure, intraocular inflammation, lens opacity, and HSO emulsification.
The patients were followed up for 3 months to 24 months (average, 8.1 ± 5.3 months). Retinal reattachment was achieved in 29 eyes (87.9%) with a first surgery and in 33 eyes (100%) with a second surgery. In all 33 eyes, HSO had been removed and the visual acuity was improved. Short-term (within 2 weeks after operations) complications included temporarily increased intraocular pressure and mild inflammation in the anterior chamber. Major long-term complications included cataract (100%) and HSO emulsification (42.4%). Other long-term complications included ocular hypertension (12.1%), retinal detachment and proliferative vitreoretinopathy (12.1%), and low intraocular pressure (9.1%).
Heavy silicone oil tamponade is safe and effective to treat complicated retinal detachment. The most common complications are cataract and HSO emulsification.
观察复杂性视网膜脱离行重硅油（HSO）填充术后的并发症。
回顾性系列病例研究。纳入 33 例（33 只眼）复杂性视网膜脱离患者，所有患者均接受玻璃体切割联合 HSO 填充术，必要时联合其他手术。主要观察指标包括视网膜复位、视力、眼压、眼内炎症、晶状体混浊和 HSO 乳化。
患者随访 3 个月至 24 个月（平均 8.1±5.3 个月）。初次手术视网膜复位 29 只眼（87.9%），二次手术视网膜复位 33 只眼（100%）。硅油均已取出，视力均提高。短期（术后 2 周内）并发症包括一过性高眼压和前房轻度炎症。主要长期并发症包括白内障（100%）和 HSO 乳化（42.4%）。其他长期并发症包括高眼压（12.1%）、视网膜脱离和增殖性玻璃体视网膜病变（12.1%）和低眼压（9.1%）。
重硅油填充治疗复杂性视网膜脱离安全有效，最常见的并发症是白内障和 HSO 乳化。
