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玻璃体内硅胶球囊:一项实验研究。

Intravitreous silicone balloon: an experimental study.

作者信息

Tolentino F I, Refojo M F, Liu H S, Schepens C L, Freeman H M

出版信息

Ophthalmic Surg. 1978 Feb;9(1):73-80.

PMID:263989
Abstract

A specially designed silicone balloon, expanded in vivo with normal saline, was tested for possible use as a retinal tamponade in desperate cases of rhegmatogenous retinal detachment. In six pigmented rabbits there were extensive postoperative complications, but in eight owl monkeys results were noticeably better. When the seam of the balloon was in contact with the retina there were adverse effects; seamless areas of the balloon did not appear to disturb the retina. Histopathologic studies indicated that excessive expansion of the balloon can cause significant damage, but that carefully controlled expansion can probably minimize complications. The presence of the balloon appears to alter electroretinographic response, but without necessarily causing histopathologic changes. Balloons of this type have been used in treatment of a small number of otherwise inoperable cases of retinal detachment with promising results.

摘要

一种专门设计的硅胶球囊,通过向其内部注入生理盐水在体内进行扩张,对其在治疗孔源性视网膜脱离的绝望病例中作为视网膜填塞物的可能用途进行了测试。在六只有色兔子身上出现了广泛的术后并发症,但在八只猫头鹰猴身上结果明显更好。当球囊的接缝与视网膜接触时会产生不良影响;球囊的无缝区域似乎不会干扰视网膜。组织病理学研究表明,球囊过度扩张会造成严重损伤,但仔细控制扩张可能会将并发症降至最低。球囊的存在似乎会改变视网膜电图反应,但不一定会引起组织病理学变化。这种类型的球囊已用于治疗少数原本无法手术的视网膜脱离病例,取得了有希望的结果。

相似文献

1
Intravitreous silicone balloon: an experimental study.玻璃体内硅胶球囊:一项实验研究。
Ophthalmic Surg. 1978 Feb;9(1):73-80.
2
[The importance of silicone oil removal in prophylaxis of the late complications of internal tamponade].[硅油取出在预防眼内填塞晚期并发症中的重要性]
Klin Oczna. 1998;100(5):301-4.
3
[Use of silicone oil for temporary tamponade in the treatment of retinal detachment with vitreoretinal retraction. 2. Aspects, prevention and treatment of complications].
J Fr Ophtalmol. 1984;7(4):279-84.
4
[Silicone tamponade in modern surgery of retinal detachment].[现代视网膜脱离手术中的硅胶填塞术]
Vestn Oftalmol. 2004 Mar-Apr;120(2):41-5.
5
[Surgical treatment of retinal detachment with macular holes by vitrectomy and silicone oil injections (author's transl)].玻璃体切除术联合硅油注射治疗黄斑裂孔性视网膜脱离(作者译)
J Fr Ophtalmol. 1980;3(2):115-8.
6
Prevention and control of proliferative vitreoretinopathy: primary retinal detachment surgery using silicone oil as a planned two-stage procedure in high-risk cases.增殖性玻璃体视网膜病变的防治:在高危病例中,将硅油作为计划性两阶段手术用于原发性视网膜脱离手术。
Eye (Lond). 2008 Jun;22(6):815-8. doi: 10.1038/sj.eye.6702719. Epub 2007 Feb 2.
7
Outcomes of vitrectomy with inferior retinectomy in patients with recurrent rhegmatogenous retinal detachments and proliferative vitreoretinopathy.复发性孔源性视网膜脱离和增殖性玻璃体视网膜病变患者行玻璃体切除术联合视网膜下切除术的疗效
Ophthalmology. 2006 Nov;113(11):2041-7. doi: 10.1016/j.ophtha.2006.05.039. Epub 2006 Sep 6.
8
[Lens opacities following intravitreous silicone injection].
Fortschr Ophthalmol. 1985;82(3):235-6.
9
Intravitreal surgery utilizing liquid silicone. A long term followup.使用液态硅酮的玻璃体腔内手术。长期随访。
Trans Pac Coast Otoophthalmol Soc Annu Meet. 1968;52:141-59.
10
[Use of silicone oil for temporary tamponade in the treatment of retinal detachment with vitreoretinal retraction. 1. Short- and long-term anatomic and functional results in 110 cases].
J Fr Ophtalmol. 1984;7(4):273-7.

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Graefes Arch Clin Exp Ophthalmol. 2016 Nov;254(11):2131-2139. doi: 10.1007/s00417-016-3364-4. Epub 2016 May 10.