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目的总结硅油填充眼牵引性视网膜脱离在硅油下视网膜复位手术的疗效,探讨该手术的手术技巧及并发症的处理。方法观察19例(19只眼)硅油填充术后发生牵引性视网膜脱离患者,在保留硅油的条件下,做常规睫状体平坦部巩膜三切口,原灌注口接硅油灌注管,在导光纤维的导引下行膜剥离、视网膜增殖疤痕切开松解、内排液、补充硅油、眼内光凝等手术使视网膜复位的手术治疗。结果19只眼中,术后视网膜基本复位,术后发生一过性高眼压14例,前房、玻璃体出血2例,视网膜创伤疤痕增殖病灶过大,周边局部牵引性脱离复发2例。结论有硅油眼牵引性视网膜脱离在硅油填充下的膜剥离松解手术,具有方法简便、节省时间、剥膜止血容易等优点,是严重增殖性复发性视网膜脱离手术最终获得成功的关键过程。
Objective To summarize the curative effect of silicone oil-filled ocular traction retinal detachment in silicone oil retina reduction surgery and to explore the surgical techniques and complications of this operation. Methods Nineteen patients (19 eyes) with traumatic retinal detachment were treated with silicon oil-filled surgery. Three sclera incisions of the flat ciliary body were made under the condition of preserving silicone oil. The original irrigation port was filled with silicon oil infusion tube. Of the leading film stripping delamination, retinal proliferation scar incision release, within the drainage, add silicone oil, intraocular photocoagulation and other surgery so that the surgical treatment of retinal reattachment. Results In 19 eyes, the retina was basically reset. There were 14 cases of transient high intraocular pressure (IOP), 2 cases of anterior chamber and vitreous hemorrhage, 2 cases of retinal trauma scar proliferation and peripheral traction. Conclusion It is a key procedure for the success of severely proliferative recurrent retinal detachment because of its advantages of simple method, time saving and easy hemostasis by silicone oil-filled retinal detachment with silicone oil-filled membrane.