论文部分内容阅读
目的：观察视网膜脱离手术硅油填塞患眼在取出硅油前进行视网膜光凝对防止视网膜再脱离的效果。方法：对２４例２４只施行过玻璃体视网膜手术和硅油填塞的视网膜脱离患眼，在取出硅油前２周至３个月时用氩绿或氪红激光在巩膜嵴后作全周或半周播散性光凝。硅油在注入后４～２７个月（平均１０．６个月）时取出。结果：２２只眼硅油取出后视网膜保持复位，占９１．７％；２只眼分别因周边部原裂孔处附着不牢及前ＰＶＲ发生视网膜再脱离，占８．３％。结论：视网膜脱离手术硅油填塞患眼，取硅油前先行激光光凝，可减少硅油取出后视网膜脱离的复发。
OBJECTIVE: To observe the effect of retinal photocoagulation on retinal detachment before retinal detachment operation with silicone oil-filled eyes. Methods: Twenty-four patients with retinal detachment were treated with vitreoretinal surgery and silicone oil plugging in 24 eyes. Two weeks or three months before silicone oil removal, all-week or half-week dissemination was performed with argon-green or krypton red laser after scleral crest Photocoagulation. Silicone oil was removed 4 to 27 months after the injection (an average of 10.6 months). Results: The retinal detachment was maintained in 22 eyes (91.7%) after removal of silicone oil. Retinal reattachment (8.3% Conclusion: Retinal detachment surgery silicone oil stuffed eyes, taking the first laser photocoagulation before silicone oil can reduce the recurrence of retinal detachment after removal of silicone oil.