硅胶辅助下，氩激光治疗复发性增殖性玻璃体视网膜病变相关视网膜脱离：一种用于允许在疑难眼中取出硅油的技术。
Silicone assisted, argon laser confinement of recurrent proliferative vitreoretinopathy related retinal detachment: a technique to allow silicone oil removal in problem eyes.
作者信息
Steel D H, Weir P, James C R
机构信息
Department of Ophthalmology, Torbay Hospital, Devon.
出版信息
Br J Ophthalmol. 1997 Sep;81(9):765-70. doi: 10.1136/bjo.81.9.765.
AIMS/BACKGROUND: Recurrent peripheral retinal detachments may occur in eyes treated with vitrectomy and silicone oil for retinal detachments complicated by proliferative vitreoretinopathy (PVR). The aim of this study was to assess whether laser photocoagulation could be used in the presence of silicone oil to confine and stabilise recurrent PVR related peripheral retinal detachments enabling the timely removal of the oil.
METHODS
10 patients with recurrent peripheral retinal detachments after vitrectomy and silicone oil insertion were treated with posturing and subsequent focal argon laser to circumscribe the area of recurrent detachment.
RESULTS
This technique alone was sufficient to limit the area of retinal detachment in seven of the cases. The remaining three cases required relieving retinotomies because of increasing retinal detachment despite the laser. In all 10 cases the silicone oil was later removed without progression of the detached areas.
CONCLUSION
Silicone assisted argon laser 'confinement' can be effective in stabilising eyes with peripheral retinal detachments allowing the subsequent removal of silicone oil.
目的/背景：对于因增生性玻璃体视网膜病变（PVR）并发视网膜脱离而接受玻璃体切除术联合硅油填充治疗的眼睛，可能会发生复发性周边视网膜脱离。本研究的目的是评估在硅油存在的情况下，激光光凝术是否可用于限制和稳定与复发性PVR相关的周边视网膜脱离，从而能够及时取出硅油。
方法
对10例玻璃体切除联合硅油填充术后发生复发性周边视网膜脱离的患者，采用体位调整及随后的局部氩激光光凝来界定复发性脱离区域。
结果
仅这项技术就足以限制7例患者的视网膜脱离面积。其余3例患者尽管进行了激光治疗，但由于视网膜脱离进展，需要进行视网膜切开减压。在所有10例患者中，硅油后来均被取出，脱离区域未进展。
结论
硅油辅助氩激光“限制术”可有效稳定周边视网膜脱离的眼睛，从而能够随后取出硅油。
Zotero 插件