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硅油取出的结果。

Outcomes of silicone oil removal.

作者信息

Zafar Shakir, Bokhari Syeda Aisha, Kamil Zeeshan, Shakir Munira, Rizvi Syed Fawad, Memon Ghulam Mustafa

机构信息

Department of Ophthalmology, Layton Rahmatullah Benevolent Trust, Free Base Eye Hospital, Karachi.

出版信息

J Coll Physicians Surg Pak. 2013 Jul;23(7):476-9.

PMID:23823950
Abstract

OBJECTIVE

To evaluate the outcome and complications of removal of silicone oil after pars plana vitrectomy.

STUDY DESIGN

Case series.

PLACE AND DURATION OF STUDY

Layton Rahmatullah Benevolent Trust (L.R.B.T), Free Base Eye Hospital, Karachi, from February 2008 to January 2011.

METHODOLOGY

Ninety five eyes of 95 patients with a history of undergoing three-port pars plana vitrectomy were included in this study that subsequently underwent removal of silicone oil. Silicone oil was removed after ophthalmoscopically determining retina attachment or when the duration of silicone oil tamponade was atleast of 6 months. Patients were followed for a period of 12 months.

RESULTS

Retinal re-detachment was seen in 19 (20%) out of 95 eyes, vitreous haemorrhage in 2 (2.1%) out of 95 eyes, corneal decompensation in 6 (6.3%) out of 95 eyes, hypotony in 7 (7.3%) out of 95 eyes, phthisis bulbi in 2 (2.1%) out of 95 eyes and lens opacification in 9 (9.4%) out of 95 eyes.

CONCLUSION

In this study, silicone oil removal resulted in various complications among which retinal re-detachment was the most frequent.

摘要

目的

评估玻璃体切割术后硅油取出的效果及并发症。

研究设计

病例系列研究。

研究地点及时间

2008年2月至2011年1月,位于卡拉奇的莱顿·拉赫马图拉慈善信托基金(L.R.B.T)免费眼科医院。

方法

本研究纳入了95例曾接受三通道玻璃体切割术且随后接受硅油取出术的患者的95只眼。在通过检眼镜确定视网膜附着后或硅油填充至少6个月后取出硅油。对患者进行了为期12个月的随访。

结果

95只眼中有19只(20%)发生视网膜再次脱离,95只眼中有2只(2.1%)发生玻璃体出血,95只眼中有6只(6.3%)发生角膜失代偿,95只眼中有7只(7.3%)发生低眼压,95只眼中有2只(2.1%)发生眼球痨,95只眼中有9只(9.4%)发生晶状体混浊。

结论

在本研究中,硅油取出导致了多种并发症,其中视网膜再次脱离最为常见。

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J Coll Physicians Surg Pak. 2013 Jul;23(7):476-9.
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Characteristics, fates and complications of long-term silicone oil tamponade after pars plana vitrectomy.经睫状体平坦部玻璃体切除术后硅油长期填充的特征、命运和并发症。
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