玻璃体切除术联合硅油注入治疗复杂性视网膜脱离

Management of complicated retinal detachment by vitrectomy and silicone oil injection.

作者信息

Ehud A, Varda C, Joseph M, Giora T

机构信息

Goldschleger Eye Institute, Sheba Medical Center, Tel-Hashomer, Israel.

出版信息

Metab Pediatr Syst Ophthalmol (1985). 1988;11(1-2):63-6.

PMID:2475741

Abstract

One hundred eyes of 95 patients were operated with vitrectomy and silicone oil injection. The patients were divided into 3 groups: Penetrating trauma (PT)-22 eyes, proliferative diabetic retinopathy (PDR)-14 eyes, and proliferative vitreoretinopathy (PVR)-64 eyes. All of the eyes had retinal detachment including the macula. Final attachment of the retina was achieved in 40% of PT, 50% of PDR, and 60% of PVR. Improvement of visual acuity following the operation was noted in 54% of PT, 43% of PDR, and 67% of PDR. Postoperative complications included band keratopathy, elevation of IOP, hypotony, and cataract. Neovascularization of the iris, either preoperative or postoperative, is associated with very poor prognosis.

摘要

95例患者的100只眼接受了玻璃体切除术联合硅油注入术。患者被分为3组：穿透性外伤（PT）组22只眼，增殖性糖尿病视网膜病变（PDR）组14只眼，增殖性玻璃体视网膜病变（PVR）组64只眼。所有眼睛均发生了包括黄斑区在内的视网膜脱离。PT组40%、PDR组50%、PVR组60%的视网膜最终实现了复位。术后视力改善情况为：PT组54%、PDR组43%、PVR组67%。术后并发症包括带状角膜病变、眼压升高、低眼压和白内障。术前或术后虹膜新生血管形成与预后极差相关。