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使用液体硅胶的基本原理。

A rationale for the use of liquid silicone.

作者信息

Scott J D

出版信息

Trans Ophthalmol Soc U K (1962). 1977 Jul;97(2):235-7.

PMID:273329
Abstract

The fundamental problem of massive retinal retraction in the contractual stage is due to the establishment of contracting membranes, both on the surface of the retina and away from the surface. These membranes distort and immobilize the retina in a way that cannot be effectively treated by buckling alone. The injection of liquid silicone enables the membrane to be stretched to a point at which it either ruptures spontaneously, or can be ruptured at a point of weakness by a needle tip. The retina, being still elastic, is able to stretch further than the membrane. At this point the membrane is actively elevated by the injecting needle and separated from the retina aa widely as possible. Liquid silicone enables significant membranes to be easily visualized, when separated, to be divided.

摘要

在收缩期大规模视网膜脱离的根本问题是由于在视网膜表面及其远离表面处形成了收缩膜。这些膜以一种仅靠巩膜扣带术无法有效治疗的方式使视网膜变形并固定。注入液态硅胶能使膜伸展到要么自发破裂,要么在薄弱点被针尖刺破的程度。视网膜仍具弹性,能比膜伸展得更远。此时,注入针会主动抬高膜并使其尽可能广泛地与视网膜分离。液态硅胶能使分离后的大片膜易于看清以便进行分割。

相似文献

1
A rationale for the use of liquid silicone.使用液体硅胶的基本原理。
Trans Ophthalmol Soc U K (1962). 1977 Jul;97(2):235-7.
2
Treatment of massive vitreous retraction.巨大玻璃体后脱离的治疗。
Trans Ophthalmol Soc U K (1962). 1975;95(3):429-32.
3
Results of silicone oil injection in massive preretinal retraction.硅油注射治疗大量视网膜前脱离的结果
Trans Ophthalmol Soc U K (1962). 1977 Jul;97(2):238-41.
4
Combined vitrectomy, intraocular microsurgery and liquid silicone in the treatment of proliferative vitreoretinopathy.玻璃体切除术、眼内显微手术联合液体硅酮治疗增生性玻璃体视网膜病变
Aust J Ophthalmol. 1984 May;12(2):133-8.
5
[Liquid silicone in amotio surgery (II). Report on 280 cases - further development of the technic].[硅胶液在眼球摘除术中的应用(二)。280例报告——技术的进一步发展]
Klin Monbl Augenheilkd. 1982 Dec;181(6):444-52.
6
[Retinal detachment recurrences. 2. Mechanisms and treatment (author's transl)].视网膜脱离复发。2. 机制与治疗(作者译)
J Fr Ophtalmol. 1982;5(2):103-7.
7
[First-intention treatment of various retinal detachments with supple retina (macular hole, giant tear) by the technic of vitrectomy-silicone injection].
Bull Soc Ophtalmol Fr. 1982 Mar;82(3):305-9.
8
Therapy of retinal detachment complicated by massive preretinal fibroplasia. Long-term follow-up of patients treated with intravitreal liquid silicone.伴有大量视网膜前纤维增生的视网膜脱离的治疗。玻璃体内注入液态硅酮治疗患者的长期随访。
Bibl Ophthalmol. 1969;79:563-71.
9
The treatment of massive vitreous retraction by the separation of pre-retinal membranes using liquid silicone.使用液态硅酮分离视网膜前膜治疗巨大玻璃体后脱离
Mod Probl Ophthalmol. 1975;15:185-90.
10
Current concepts in the management of complex retinal detachments.复杂视网膜脱离治疗的当前概念
Trans Ophthalmol Soc U K (1962). 1983;103 ( Pt 2):133-8.

引用本文的文献

1
Main Principles of Vitrectomy Using Intraocular Tamponades - A Basic Course in Surgery.玻璃体切除术的主要原则——手术基础课程中的眼内填充物。
Klin Monbl Augenheilkd. 2022 Nov;239(11):1337-1353. doi: 10.1055/a-1929-9413. Epub 2022 Nov 21.
2
Intraocular Pressure Rise Linked to Silicone Oil in Retinal Surgery: A Review.视网膜手术中眼压升高与硅油有关:综述
Vision (Basel). 2020 Aug 13;4(3):36. doi: 10.3390/vision4030036.
3
Correlation of spectral domain optical coherence tomography findings in sub-silicone oil foveal depression space and visual outcome in eyes undergoing silicone oil removal.
硅油取出术中硅油下黄斑凹陷区的频域光学相干断层扫描结果与视力预后的相关性
Taiwan J Ophthalmol. 2016 Jan-Mar;6(1):21-25. doi: 10.1016/j.tjo.2015.11.001. Epub 2016 Feb 13.
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Outcome after silicone oil removal.硅油取出后的结果。
Br J Ophthalmol. 2001 Nov;85(11):1324-7. doi: 10.1136/bjo.85.11.1324.
5
Acute corneal decompensation after silicone oil removal.硅油取出术后急性角膜失代偿
Int Ophthalmol. 1999;23(3):131-5. doi: 10.1023/a:1010652521578.
6
Electroretinographic studies following vitrectomy and intraocular silicone oil injection.玻璃体切除及眼内硅油注射后的视网膜电图研究。
Br J Ophthalmol. 1985 Apr;69(4):254-60. doi: 10.1136/bjo.69.4.254.
7
Silicone oil keratopathy: indications for keratoplasty.硅油性角膜病变:角膜移植的适应证
Br J Ophthalmol. 1985 Apr;69(4):247-53. doi: 10.1136/bjo.69.4.247.
8
Basal iridectomy at 6 o'clock in the aphakic eye treated with silicone oil: prevention of keratopathy and secondary glaucoma.硅油治疗无晶状体眼6点处基底虹膜切除术:预防角膜病变和继发性青光眼。
Br J Ophthalmol. 1987 Mar;71(3):197-200. doi: 10.1136/bjo.71.3.197.
9
The physical and surgical aspects of silicone oil in the vitreous cavity.玻璃体腔内硅油的物理及手术相关方面。
Graefes Arch Clin Exp Ophthalmol. 1987;225(6):452-6. doi: 10.1007/BF02334175.
10
Retinal detachment.视网膜脱离
Br Med J (Clin Res Ed). 1987 Mar 14;294(6573):661-2. doi: 10.1136/bmj.294.6573.661.