硅油填充眼白内障手术的长期随访
Long-term follow-up of cataract surgery in eyes filled with silicone oil.
作者信息
Kanclerz Piotr, Leisser Christoph, Grzybowski Andrzej, Lipowski Paweł
机构信息
Hygeia Clinic, Gdańsk 80-286, Poland.
VIROS-Vienna Institute for Research in Ocular Surgery, a Karl Landsteiner Institute, Vienna 1140, Austria.
出版信息
Int J Ophthalmol. 2021 Jan 18;14(1):72-75. doi: 10.18240/ijo.2021.01.10. eCollection 2021.
AIM
To evaluate the refractive and long-term outcome of eyes filled with silicone oil (SO) undergoing phacoemulsification cataract surgery (PCS).
METHODS
This retrospective study evaluated patients with SO tamponade who were scheduled for PCS.
RESULTS
Subjects (=26) were followed for 29.5±13.9mo after cataract surgery. The median spherical equivalent refraction (SER) was +5.3 D [interquartile range (IQR) +2.9 to +6.7] before PCS, and +3.4 D (IQR +2.0 to +4.4) after PCS. Within the follow-up period retinal reattachment after SO removal was achieved in 15 out of 26 eyes (57.7%). In 13 eyes assessment of refraction after SO-removal was possible, and showed a myopic shift of -4.6 D (IQR -2.9 to -7.3) in the SER. After SO removal, 5 of the 13 eyes (38.5%) were within ±1.0 D of the target refraction, while 9 out of the 13 eyes (69.2%) were within ±2.0 D.
CONCLUSION
In our study, the refraction after PCS for eyes filled with SO manifested low predictability, as did the myopic shift following SO removal. A significant percentage of the eyes that underwent SO administration required a long-term tamponade.
目的
评估接受超声乳化白内障手术（PCS）的硅油（SO）填充眼的屈光及长期预后。
方法
这项回顾性研究评估了计划接受PCS的SO填塞患者。
结果
26例患者在白内障手术后随访29.5±13.9个月。PCS术前等效球镜度（SER）中位数为+5.3 D[四分位数间距（IQR）+2.9至+6.7]，术后为+3.4 D（IQR +2.0至+4.4）。在随访期内，26只眼中有15只（57.7%）在取出SO后实现视网膜复位。13只眼在取出SO后可进行屈光评估，显示SER近视漂移-4.6 D（IQR -2.9至-7.3）。取出SO后，13只眼中有5只（38.5%）的屈光度数在目标屈光度数±1.0 D范围内，而13只眼中有9只（69.2%）在±2.0 D范围内。
结论
在我们的研究中，SO填充眼PCS后的屈光表现出低可预测性，取出SO后的近视漂移也是如此。相当比例接受SO治疗的眼需要长期填塞。
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