Gkizis Ilias, Garnavou-Xirou Christina, Bontzos Georgios, Smoustopoulos Georgios, Xirou Tina
Ophthalmology, Korgialenio-Benakio General Hospital, Athens, GRC.
Cureus. 2021 Jul 14;13(7):e16387. doi: 10.7759/cureus.16387. eCollection 2021 Jul.
Postoperative ocular hypotony after silicone oil removal in complex cases of retinal detachment is a complication that can occur in about 20% of cases and can prevent the successful management of retinal detachments. Thus, it is critical to understand the mechanisms of hypotony and the potential interventions that can be done in order to avoid irreversible tissue damage. We present a case of a 35-year-old man who underwent intraocular surgery for removal of silicone oil tamponade following a combined scleral buckling and pars plana vitrectomy (PPV) surgery for a rhegmatogenous retinal detachment associated with a giant retinal tear. On Day 1 after the operation, the patient was found to have hypotony with optic disc edema, chorioretinal folds, and visual acuity of 'hand movement' perception. Two weeks postop, the patient's condition stabilized, with a visual acuity of 0.38 logMAR, an intraocular pressure (IOP) of 12 mmHg, and the absence of macular edema.
在复杂性视网膜脱离病例中，硅油取出术后的术后低眼压是一种并发症，约20%的病例会出现，且可能妨碍视网膜脱离的成功治疗。因此，了解低眼压的机制以及为避免不可逆组织损伤可采取的潜在干预措施至关重要。我们报告一例35岁男性病例，该患者在接受巩膜扣带术联合玻璃体切割术（PPV）治疗伴有巨大视网膜裂孔的孔源性视网膜脱离后，接受了硅油填塞物取出的眼内手术。术后第1天，发现患者存在低眼压，伴有视盘水肿、脉络膜视网膜皱褶，视力为“手动”感知。术后两周，患者病情稳定，视力为0.38 logMAR，眼压（IOP）为12 mmHg，且无黄斑水肿。
