硅油：不同的物理特性及临床应用。
Silicone oil: different physical proprieties and clinical applications.
作者信息
Barca Francesco, Caporossi Tomaso, Rizzo Stanislao
机构信息
U.O. Chirurgia Oftalmica, Azienda Ospedaliero Universitaria Pisana (AOUP), Via Paradisa 2, 56124 Pisa, Italy.
出版信息
Biomed Res Int. 2014;2014:502143. doi: 10.1155/2014/502143. Epub 2014 Jun 11.
Abstract
Silicone oils are important tools in vitreoretinal surgery because they have the ability to displace aqueous humor from the retinal surface, maintaining the adhesion between retina and retinal pigment epithelium. To understand this capability, it is important to know the silicone oil characteristics. Herein, we report first on the main chemical-physical proprieties and then we review the clinical applications of the current silicone oil which is lighter than water with particular reference to their indications with small gauge vitrectomy. Finally, we describe the surgical techniques to inject and remove this type of silicone oil. In the summary of this paper, we explain why silicone oils are today increasingly used and why their introduction has improved the prognosis of several retinal diseases. In fact, having different types of silicone oils allows us to choose the appropriate endotamponade for every single case.
摘要
硅油是玻璃体视网膜手术中的重要工具，因为它们能够将房水从视网膜表面置换出来，维持视网膜与视网膜色素上皮之间的粘连。为了解这种能力，了解硅油的特性很重要。在此，我们首先报告其主要物理化学性质，然后回顾目前比重比水轻的硅油的临床应用，特别提及它们在小切口玻璃体切除术中的适应证。最后，我们描述注入和取出这类硅油的手术技术。在本文的总结部分，我们解释了为什么如今硅油的使用越来越多，以及它们的引入为何改善了几种视网膜疾病的预后。事实上，有不同类型的硅油使我们能够为每个病例选择合适的眼内填充剂。
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