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复杂视网膜脱离患者玻璃体注射液态硅酮后角膜内皮的镜面显微镜检查

Specular microscopy of the corneal endothelium after liquid silicone injection into the vitreous in complicated retinal detachments.

作者信息

Karel I, Filipec M, Obenberger J

出版信息

Graefes Arch Clin Exp Ophthalmol. 1986;224(2):195-200. doi: 10.1007/BF02141497.

DOI:10.1007/BF02141497
PMID:3949195
Abstract

Twenty-one patients were followed up for at least 6 months after pars plana vitrectomy and liquid silicone injection into the vitreous for complicated retinal detachment by means of specular microscopy. In 17 eyes without silicone penetration into the anterior chamber, only insignificant changes were observed. In contrast, in 4 eyes, where a large drop of liquid silicone penetrated into the anterior chamber, the cell densities rapidly decreased to critical values and a marked pleomorphism of large endothelial cells with abnormal intracellular details indicated serious damage of the surviving cells. A characteristic structureless reflecting layer with contourlike lines in some areas of the specular image was a newly observed bizarre change that was caused by the replacement of the anterior chamber fluid by liquid silicone with markedly different optical properties.

摘要

通过镜面显微镜对21例因复杂性视网膜脱离行玻璃体平坦部玻璃体切除术并向玻璃体腔内注射液体硅酮的患者进行了至少6个月的随访。在17只硅油未渗入前房的眼中,仅观察到不明显的变化。相比之下,在4只眼中,一大滴液体硅酮渗入前房,细胞密度迅速降至临界值,大内皮细胞出现明显的多形性且细胞内细节异常,表明存活细胞受到严重损伤。镜面图像某些区域出现的具有轮廓状线条的特征性无结构反射层是一种新观察到的奇异变化,这是由光学性质明显不同的液体硅酮替代前房液所致。

相似文献

1
Specular microscopy of the corneal endothelium after liquid silicone injection into the vitreous in complicated retinal detachments.复杂视网膜脱离患者玻璃体注射液态硅酮后角膜内皮的镜面显微镜检查
Graefes Arch Clin Exp Ophthalmol. 1986;224(2):195-200. doi: 10.1007/BF02141497.
2
[Specular microscopy of the corneal endothelium after entry of silicone oil into the anterior chamber].硅油进入前房后角膜内皮的镜面显微镜检查
Zhonghua Yan Ke Za Zhi. 1990 Sep;26(5):267-9.
3
Changes in corneal endothelium after treatment of retinal detachment with intraocular silicone oil.眼内硅油治疗视网膜脱离后角膜内皮的变化
Acta Ophthalmol (Copenh). 1989 Feb;67(1):37-43. doi: 10.1111/j.1755-3768.1989.tb00720.x.
4
Aqueous concentrations of fluorouracil after intravitreal injection. Normal, vitrectomized, and silicone-filled eyes.
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Silicone oil in the anterior chamber.前房内的硅油。
Graefes Arch Clin Exp Ophthalmol. 1989;227(2):106-9. doi: 10.1007/BF02169779.
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Specular and scanning electron microscopy in diffuse silicone keratopathy.弥漫性硅酮角膜病变的镜面反射和扫描电子显微镜检查
Graefes Arch Clin Exp Ophthalmol. 1989;227(5):417-20. doi: 10.1007/BF02172891.
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[Loss of corneal endothelial cells following pars plana vitrectomy and silicone oil implantation].[玻璃体切割联合硅油植入术后角膜内皮细胞的丢失]
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The effect of liquid silicone on the corneal endothelium in rabbits. A comparative specular microscopic and histopathologic study.
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Effect of intravitreal liquid silicone on optic nerve function.玻璃体内注射液态硅对视神经功能的影响。
Am J Ophthalmol. 1988 Sep 15;106(3):293-7. doi: 10.1016/0002-9394(88)90364-9.

引用本文的文献

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Retinal and Corneal Changes Associated with Intraocular Silicone Oil Tamponade.与眼内硅油填充相关的视网膜和角膜变化
J Clin Med. 2022 Sep 5;11(17):5234. doi: 10.3390/jcm11175234.
2
Status of corneal endothelial cells in the presence of silicone oil in the anterior chamber.眼前房硅油存在时的角膜内皮细胞状态。
Sci Rep. 2021 Jul 7;11(1):14055. doi: 10.1038/s41598-021-93338-x.
3
Acute corneal decompensation after silicone oil removal.硅油取出术后急性角膜失代偿

本文引用的文献

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Specular and scanning electron microscopy in diffuse silicone keratopathy.弥漫性硅酮角膜病变的镜面反射和扫描电子显微镜检查
Graefes Arch Clin Exp Ophthalmol. 1989;227(5):417-20. doi: 10.1007/BF02172891.
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Silicone oil in the anterior chamber.前房内的硅油。
Graefes Arch Clin Exp Ophthalmol. 1989;227(2):106-9. doi: 10.1007/BF02169779.
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Specular microscopy in pars plana vitrectomy.玻璃体切除术术中的镜面显微镜检查
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8
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