硅油取出术后再次视网膜脱离的影响因素。
Factors having implications on re-retinal detachments after silicone oil removal.
机构信息
Retina Foundation, Shahibaug, Ahmedabad, India.
出版信息
Indian J Ophthalmol. 2012 Nov-Dec;60(6):517-20. doi: 10.4103/0301-4738.103777.
AIM
To investigate factors having implications on re-retinal detachments (reRD) after silicone oil removal (SOR).
MATERIALS AND METHODS
A retroprospective study of 412 eyes (with attached retina after vitrectomy with silicone oil for rhegmatogenous RD) which underwent SOR was conducted and were followed up for six months after SOR. They were studied for various factors like encirclage, 360° retinopexy, oil emulsification at the time of SOR, duration of oil tamponade and previous retinal surgeries prior to SOR with their implications on reRD after SOR.
RESULTS
Encirclage, 360 laser barrage, both, emulsification of oil (P=0.021, P=0.001, P=0.001, P=0.001, respectively) were associated with lower risks of reRD after SOR whereas duration of tamponade (P=0.980) was not.
CONCLUSION
Factors like encirclage, 360 retinopexy, their combination, oil emulsification reduced the incidence of re RD after SOR whereas duration of tamponade does not have statistical significant correlation with re RD after SOR.
目的
探讨硅油取出（SOR）后视网膜再次脱离（reRD）的影响因素。
材料与方法
对 412 只眼（硅油眼内填充玻璃体切割术后视网膜复位）进行了回顾性研究，这些患者均接受了 SOR，并在 SOR 后进行了 6 个月的随访。研究了各种因素，如环扎术、360°视网膜光凝、SOR 时硅油乳化、硅油填充时间以及 SOR 前的视网膜手术，及其对 SOR 后 reRD 的影响。
结果
环扎术、360°激光光凝、硅油乳化（P=0.021、P=0.001、P=0.001、P=0.001）与 SOR 后 reRD 风险降低相关，而硅油填充时间（P=0.980）与 SOR 后 reRD 无统计学相关性。
结论
环扎术、360°视网膜光凝、两者联合、硅油乳化可降低 SOR 后 reRD 的发生率，而硅油填充时间与 SOR 后 reRD 无统计学相关性。
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