重硅油眼内填充治疗下方或后极部裂孔视网膜脱离的临床观察

发布时间：2018-02-24 19:04

本文关键词： 重硅油眼内填充下方/后极部视网膜裂孔视网膜脱离　出处：《广西医科大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的观察重硅油(Oxane HD)作为眼内填充物治疗下方或后极部裂孔视网膜脱离的治疗效果及并发症。方法前瞻性研究。采用标准的玻璃体切割联合重硅油填充术治疗的下方或后极部裂孔视网膜脱离患者32例32眼。术中根据病情联合白内障超声乳化吸除、巩膜外环扎、视网膜前膜剥除、视网膜切开、重水展平视网膜、眼内激光光凝或手术显微镜直视下冷凝等。观察重硅油Oxane-HD填充期间和取出术后最佳矫正视力、视网膜复位情况、并发症等。随访时间不少于6个月。结果术后随访7～21(平均12.34±4.40)个月,一次手术后视网膜复位率(视网膜裂孔封闭,视网膜完全复位)为90.62%(29/32),二次手术后视网膜复位率为93.75%(30/32)。术后视力提高者71.90%(23/32),术后等于或优于行走视力的比例为75.00%(24/32),脱盲率为53.13%(17/32)。并发症包括重硅油乳化、并发性白内障等。结论重硅油Oxane-HD眼内填充是治疗下方或后极部裂孔视网膜脱离的有效方法,术后可使病人避免由于俯卧体位造成的不适。
[Abstract]:Objective to observe the therapeutic effect and complications of the treatment of retinal detachment from the inferior or posterior polar hole with heavy silicone oil (Oxane HDD) as an intraocular filler. Methods A prospective study was carried out. Standard vitrectomy combined with heavy silicone oil implantation was used to treat retinal detachment. 32 cases (32 eyes) with retinal detachment from the inferior or posterior pole hole were treated by phacoemulsification and phacoemulsification according to the condition of the disease. Scleral circumferential ligation, anterior retinal detachment, retina incision, heavy water flattening, intraocular laser photocoagulation or cryotherapy under direct microscope, etc. The best corrected visual acuity and retinal reattachment during and after Oxane-HD implantation with heavy silicone oil were observed. Complications and so on. The follow-up time was not less than 6 months. Results the postoperative follow-up was 721 months (mean 12.34 卤4.40) months. Complete reattachment of the retina was 90.622 / 29 / 32, and the rate of retinal reattachment was 93.7575 / 32 / 32. The visual acuity was improved by 71.90 / 2332, and the ratio of postoperative visual acuity to or superior to walking vision was 75.00% 24 / 32, and the rate of blindness removal was 53.13% 17 / 32.The complications included emulsification of heavy silicone oil, Conclusion the intraocular filling of Oxane-HD with heavy silicone oil is an effective method for the treatment of retinal detachment in the inferior or posterior polar hole, and the discomfort caused by prone position can be avoided after operation.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R779.6

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