儿童视网膜脱离使用高密度硅油的结果。
Outcome of pediatric retinal detachment using high-density silicone oil.
机构信息
Army Hospital research and referral, Delhi Cantt, New Delhi, India.
Chacha Nehru Bal Chikitsalya, Geeta Colony, New Delhi, 110029, India.
出版信息
Int Ophthalmol. 2021 Feb;41(2):575-580. doi: 10.1007/s10792-020-01611-1. Epub 2020 Nov 8.
BACKGROUND
The high-density silicone oil (Densiron), a mixture of F6H8 with silicone oil, has been used in the management of retinal detachment (RD) complicated by the presence of proliferative vitreoretinopathy (PVR) with varying rate of anatomical success and visual outcomes.
METHODS
We conducted a prospective interventional case series of 22 eyes in 22 children less than 18 years diagnosed with complicated retinal detachment complicated by the presence of PVR in inferior quadrant.
RESULTS
The mean age of the patients was 8.45 ± 3.36 years. There were 14 male and 8 female children. Five patients presented with total RD, 5 had subtotal RD and remaining 10 with inferior retinal detachment. There were 8 children with PVR C1, 13 with PVR C2, 3 with PVR C3. All patient's had macula off RD at presentation. The anatomical success in the form of attached retina was achieved in 21 (95.45%) eyes. Standard three-port pars plana vitrectomy without scleral buckling under general anesthesia was surgical technique employed in all cases.
CONCLUSION
Densiron can be an important tamponade agent in pediatric retinal detachment complicated by PVR with increased success rate of retinal re-attachment.
背景
高密度硅油（Densiron）是 F6H8 与硅油的混合物，已用于治疗伴有增生性玻璃体视网膜病变（PVR）的视网膜脱离（RD），其解剖成功率和视力结果各不相同。
方法
我们对 22 名年龄小于 18 岁的儿童进行了前瞻性干预性病例系列研究，这些儿童患有伴有 PVR 的下象限复杂性视网膜脱离。
结果
患者的平均年龄为 8.45±3.36 岁。男 14 例，女 8 例。5 例患者表现为完全性 RD，5 例为部分性 RD，10 例为下视网膜脱离。8 例患儿 PVR C1，13 例 PVR C2，3 例 PVR C3。所有患者就诊时均存在黄斑脱离 RD。21 只眼（95.45%）视网膜成功附着。所有病例均采用全身麻醉下标准三通道经睫状体平坦部玻璃体切除术，不使用巩膜扣带术。
结论
在伴有 PVR 的小儿视网膜脱离中，Densiron 可作为一种重要的眼内填塞剂，提高视网膜复位的成功率。
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