硅油填充治疗外伤感染性眼内炎伴视网膜脱离

目的 探讨硅油填充治疗外伤性感染性眼内炎伴视网膜脱离的效果和影响因素。方法 回顾性分析1995年1月至2002年12月，我院眼科行硅油填充治疗外伤性感染性眼内炎伴视网膜脱离的16例16眼临床资料。结果 感染性眼内炎均得到控制。视网膜完全复位11眼(68．8％)，限局性视网膜脱离3眼(18．8％)，完全脱离2眼(12．5％)。术后视力光感-0．04者11眼，≥0．05者5眼。结论 应用硅油填充术能够有效地治疗外伤性感染性眼内炎伴视网膜脱离，术后并发症主要是视网膜脱离复发和增生性玻璃体视网膜病变(PVR)。

The management of traumatic endophthalmitis associated with retinal detachment using silicone oil

ObjectiveTo evaluate the use of silicone oil as an intraocular tamponade for traumatic endophthalmitis associated with retinal detachment.Methods16 cases (16 eyes) of traumatic endophthalmi tis associated with retinal detachment were analyzed retrospectively.All of them underwent silicone oil tamponade.ResultsDuring a follow-up of 3-25 months,intraocular infection of 16 cases were controlled,the detached reti nas were reattached in 11 eyes(68.8%),locally detached in 3 eyes(18.8%) and rede tached in 2 eyes(12.5%).Corrected vision was 0.04 or worse in 11 eyes,and better than 0.05 in 5 eyes.ConclusionSilicone oil tamponade is an ef fective method for the management of traumatic endophthalmitis associated with r etinal detachment.The major complication is recurrent retinal detachment and pro liferative vitreoretinopathy after silicone oil tamponade.