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目的 :评估硅油填充术后前房硅油及其对眼压的影响。方法 :对 110例 112眼行硅油填充术的患者的临床资料进行回顾性分析。结果 :术后 1～ 2 1月随访发现 19眼 (17% )前房硅油 ,其中 16眼 (84% )为无晶体眼 :12眼下方 6点虹膜周切闭锁 ,4眼周切大于 2 mm。前房硅油中继发青光眼的发生率为 5 3% (10 / 19) ,角膜混浊 2 1% (4 / 19)。结论 :虹膜周切闭锁为无晶体眼中硅油入前房的首要原因。前房硅油继发性青光眼发生率高 ,应予及早取出。
PURPOSE: To evaluate the effect of silicone oil on intraocular pressure after silicone oil filled surgery. Methods: The clinical data of 110 patients undergoing silicone oil filling in 112 eyes were analyzed retrospectively. Results: A total of 19 eyes (17%) of anterior chamber silicone oil were observed at 1 ~ 21 months after operation. Among them, 16 eyes (84%) were aphakic: . The incidence of secondary glaucoma in anterior chamber silicone oil was 53% (10/19) and 21% (4/19) of corneal opacity. CONCLUSIONS: Iris circumflex closure is the primary cause of silicone oil into the anterior chamber in aphakic eyes. Anterior chamber silicone oil secondary glaucoma high incidence, should be removed as soon as possible.