Montanari P, Troiano P, Marangoni P, Pinotti D, Ratiglia R, Miglior M
1st Institute of Ophthalmology, University of Milan, Italy.
Int Ophthalmol. 1996;20(1-3):29-31. doi: 10.1007/BF00212941.
To evaluate the prevalence of glaucoma after pars plana vitrectomy with silicone oil injection and to determine the different clinical forms.
Authors have carried out a retrospective longitudinal study on patients who underwent pars plana vitrectomy with silicone oil injection from 1981 to 1995. The examined population consists of 301 patients (301 eyes), with an age ranging from 8 to 85 years, affected by retinal detachment and proliferative vitreoretinopathy.
The prevalence of the secondary glaucoma has been 18.5%. In all cases glaucoma was caused by trabecular meshwork obstruction due to silicone oil emulsification. The glaucoma has been more frequent after surgery for recurrent rhegmatogenous retinal detachment with fibrous PVR (52.86%) and for particular forms of rhegmatogenous retinal detachment (giant tears, multiple breaks, pseudophakia) with incipient PVR (30%).
Glaucoma after intravitreal silicone oil injection for complicated retinal detachments is a relatively frequent complication mostly when surgery needs endophotocoagulation, endodiatermy and lensectomy.
评估玻璃体腔注射硅油的玻璃体切除术术后青光眼的患病率，并确定不同的临床类型。
作者对1981年至1995年间接受玻璃体腔注射硅油的玻璃体切除术的患者进行了一项回顾性纵向研究。研究对象包括301例患者（301只眼），年龄在8岁至85岁之间，均患有视网膜脱离和增生性玻璃体视网膜病变。
继发性青光眼的患病率为18.5%。所有病例的青光眼均由硅油乳化导致小梁网阻塞引起。在复发性孔源性视网膜脱离伴纤维性增生性玻璃体视网膜病变的手术后（52.86%）以及特定形式的孔源性视网膜脱离（巨大裂孔、多发裂孔、人工晶状体眼）伴早期增生性玻璃体视网膜病变的手术后（30%），青光眼更为常见。
对于复杂视网膜脱离行玻璃体腔内注射硅油术后的青光眼是一种相对常见的并发症，尤其在手术需要眼内光凝、眼内透热疗法和晶状体切除时。
