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| 25G辅助巩膜外加压术治疗硅油眼视网膜脱离的疗效观察 | |
| 引用本文： | 高云仙,赵勇,王雁,阿依努尔,杨磊.25G辅助巩膜外加压术治疗硅油眼视网膜脱离的疗效观察[J].国际眼科杂志,2018,18(2):356-359. |
| 作者姓名： | 高云仙 赵勇 王雁 阿依努尔 杨磊 |
| 作者单位： | 中国新疆维吾尔自治区乌鲁木齐市,新疆医科大学附属中医医院眼科,中国新疆维吾尔自治区乌鲁木齐市,新疆医科大学附属中医医院眼科,中国新疆维吾尔自治区乌鲁木齐市,新疆医科大学附属中医医院眼科,中国新疆维吾尔自治区乌鲁木齐市,新疆医科大学附属中医医院眼科,中国新疆维吾尔自治区乌鲁木齐市,新疆医科大学附属中医医院眼科 |
| 基金项目： | 新疆维吾尔自治区优秀青年科技创新人才培养项目(No.2014721039) |
| 摘 要： | 目的：观察25G辅助巩膜外加压术治疗硅油眼视网膜脱离的疗效。 方法：回顾性分析硅油填充术后出现视网膜脱离的患者15例15眼行25G辅助直视下巩膜外加压术后3～6mo患者的视网膜复位、最佳矫正视力(best corrected visual acuity，BCVA)及眼压情况。 结果：术前患者15 例15眼均存在3：00～9：00位范围内的视网膜脱离； 术后视网膜解剖复位13例13眼，未复位2 例2眼。术后1mo最佳矫正视力提高1行以上者11例11眼，视力变化1行以内者3例3眼，视力下降1行以上者1例1眼。术后早期部分患者存在眼压升高现象，药物控制后可恢复正常。 结论：25G辅助直视下巩膜外加压术治疗硅油眼视网膜脱离疗效确切。 |
| 关 键 词： | 视网膜脱离 硅油 巩膜外加压术 眼压 |
| 收稿时间： | 2017/8/19 0:00:00 |
| 修稿时间： | 2018/1/2 0:00:00 |
Clinical observation of scleral buckling with 25G for retinal detachment eyes with silicon oil tamponaded |
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| Affiliation: | Department of Ophthalmology, the Affiliated Traditional Chinese Medical Hospital of Xinjiang Medical University, Urumqi 830001, Xinjiang Uygur Autonomous Region, China,Department of Ophthalmology, the Affiliated Traditional Chinese Medical Hospital of Xinjiang Medical University, Urumqi 830001, Xinjiang Uygur Autonomous Region, China,Department of Ophthalmology, the Affiliated Traditional Chinese Medical Hospital of Xinjiang Medical University, Urumqi 830001, Xinjiang Uygur Autonomous Region, China,Department of Ophthalmology, the Affiliated Traditional Chinese Medical Hospital of Xinjiang Medical University, Urumqi 830001, Xinjiang Uygur Autonomous Region, China and Department of Ophthalmology, the Affiliated Traditional Chinese Medical Hospital of Xinjiang Medical University, Urumqi 830001, Xinjiang Uygur Autonomous Region, China |
| Abstract: | AIM: To observe the effect of 25G-assisted scleral buckling under direct vision in the treatment of retinal detachment in silicone oil-filled eyes. METHODS: In the retrospective case study, 15 eyes of 15 patients who had retinal detachment after silicone oil filling were treated with 25G-assisted scleral buckling under direct vision. Experimental patients were followed up for 3-6mo to observe the retinal reattachment, visual acuity and intraocular pressure. RESULTS: There were 15 eyes of 15 patients with inferior retinal detachment before operation. Retinal reattachment was achieved in 13 eyes(13 patients), and retina failed to be reattached in 2 eyes(2 patients)after operation. Furthermore, postoperative visual acuity was found to be improved more than one line in 11 eyes(11 patient), unchanged in 3 eyes(3 patients), and decreased more than one line in 1 eye(1 patient). Meanwhile, early postoperative intraocular pressure increased in some patients and returned to normal after drug control. CONCLUSION: The 25G-assisted scleral buckling under direct vision has a definite curative effect in the treatment of retinal detachment in silicone oil-filled eyes. |
| Keywords: | retinal detachment silicone oil sclera buckling intraocular pressure |
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