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玻璃体切除术联合液体/硅油置换治疗巨大视网膜裂孔:18个月的结果

Vitrectomy and fluid/silicone-oil exchange for giant retinal tears: results at 18 months.

作者信息

Billington B M, Leaver P K

出版信息

Graefes Arch Clin Exp Ophthalmol. 1986;224(1):7-10. doi: 10.1007/BF02144123.

DOI:10.1007/BF02144123
PMID:3943740
Abstract

Sixty-five eyes with giant retinal tears previously reviewed at 6 months after vitrectomy and fluid/silicone-oil exchange were again reviewed 18 months after surgery. The retina remained attached in 54 eyes (83%), and of these 32 (57%) had visual acuities of 6/60 or better. Poor acuities were attributed in most cases to cataract associated with silicone-oil contact or macular damage from preoperative macular detachment. Glaucoma occurred chiefly in those eyes which were aphakic prior to surgery, or were rendered aphakic at surgery, but did not influence the visual outcome at this stage. Encouraging results of surgery after 6 months were confirmed after 18 months, although the level of vision had fallen in some cases due to the development of lens opacities.

摘要

对65只曾在玻璃体切除术联合液体/硅油置换术后6个月接受复查的巨大视网膜裂孔眼,于术后18个月再次进行复查。54只眼(83%)的视网膜保持附着,其中32只眼(57%)的视力为6/60或更好。在大多数情况下,视力不佳归因于与硅油接触相关的白内障或术前黄斑脱离导致的黄斑损伤。青光眼主要发生在术前无晶状体或手术中变为无晶状体的眼中,但在这个阶段不影响视力结果。尽管在某些病例中由于晶状体混浊的发展视力有所下降,但术后6个月时令人鼓舞的手术结果在18个月时得到了证实。

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Vitrectomy and fluid/silicone-oil exchange for giant retinal tears: results at 18 months.玻璃体切除术联合液体/硅油置换治疗巨大视网膜裂孔:18个月的结果
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本文引用的文献

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Dev Ophthalmol. 1981;2:185-90. doi: 10.1159/000395321.
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[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]
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Management of giant retinal tears using vitrectomy and silicone oil/fluid exchange. A preliminary report.应用玻璃体切除术及硅油/液体交换治疗巨大视网膜裂孔:初步报告
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Pars plana vitrectomy for the treatment of rhegmatogenous retinal detachment uncomplicated by advanced proliferative vitreoretinopathy.用于治疗未合并晚期增生性玻璃体视网膜病变的孔源性视网膜脱离的玻璃体切割术。
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The treatment of giant tear detachments using retrohyaloidal perfluorocarbon gases without drainage or vitrectomy.使用后玻璃体腔全氟碳气体治疗巨大裂孔性视网膜脱离,无需引流或玻璃体切除术。
Graefes Arch Clin Exp Ophthalmol. 1987;225(2):94-8. doi: 10.1007/BF02160338.
8
Radical vitrectomy and silicone-oil injection in the treatment of proliferative vitreoretinopathy following retinal detachment.视网膜脱离后增生性玻璃体视网膜病变的玻璃体切除术联合硅油注入治疗
Doc Ophthalmol. 1986 Dec 30;64(1):109-16. doi: 10.1007/BF00166692.
9
Vitrectomy and fluid/silicone-oil exchange for giant retinal tears: 5 years follow-up.玻璃体切除术联合液体/硅油置换治疗巨大视网膜裂孔:5年随访
Graefes Arch Clin Exp Ophthalmol. 1989;227(4):323-7. doi: 10.1007/BF02169405.
4
Vitrectomy and fluid/silicone-oil exchange for giant retinal tears: results at six months.玻璃体切除术联合液体/硅油置换治疗巨大视网膜裂孔:六个月时的结果
Br J Ophthalmol. 1984 Jun;68(6):432-8. doi: 10.1136/bjo.68.6.432.