Chen Q Y
Department of Ophthalmology, Eye & ENT Hospital, Shanghai Medical University.
Zhonghua Yan Ke Za Zhi. 1993 Jul;29(4):197-9.
Vitrectomy and domestic silicone oil were used in the treatment of 42 eyes with complicated retinal detachment, and the retina was reattached in 34 cases or a rate of 80%, which dropped to 54% in 4-24 months postoperative. Among 7 eyes with successful retinal attachment and silicone oil removal, 1 eye developed recurrent retinal detachment. The therapeutic effect of silicone oil and operative complications were discussed. Removal of intravitreal silicone oil 3-6 months after injection was necessary to avoid adverse consequences. The study indicated that pars plana vitrectomy with silicone oil injection was an effective procedure in the management of complicated retinal detachment.
采用玻璃体切除术及国产硅油治疗42例复杂性视网膜脱离患者,34例视网膜复位,复位率为80%,术后4 - 24个月时复位率降至54%。在7例视网膜复位且硅油取出成功的患者中,1例发生视网膜脱离复发。讨论了硅油的治疗效果及手术并发症。为避免不良后果,需在注射后3 - 6个月取出玻璃体内的硅油。该研究表明,玻璃体切除联合硅油注入术是治疗复杂性视网膜脱离的有效方法。