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报告玻璃体切除联合硅油填充治疗复杂性视网膜脱离６０例（６０只眼），包括增殖性玻璃体现网膜病变（ｐｒｏｌｉｆｅｒａｔｉｖｅｖｉｔｒｅｏｒｅｔｉｎｏｐａｔｈｙ，ＰＶＲ）Ｄ级２７只眼，后瓣翻转的巨大裂孔视网膜脱离１５只眼，后极或黄斑裂孔１３只眼，外伤性ＰＶＲ５只眼。经３～２４个月随访，４８只眼获得解剖学复位，成功率为８０％。４３只眼术后视力进步，其中３２只眼视力≥０．０５。玻璃体切除、膜剥离为硅油填充创造了条件并充分发挥了硅油填充的作用，而硅油填充完善了玻璃体手术并提高了成功率。作者对硅油手术的原理、适应证、优缺点及并发症也进行了扼要讨论。
Reported 60 cases (60 eyes) of complicated retinal detachment with vitrectomy combined with silicone oil filling, including 27 eyes of grade D of proliferative vitreoretinopathy (PVR), 15 eyes of giant hiatus retina flap reversed, 13 posterior pole or macular hole, traumatic PVR5 eye. After 3 to 24 months of follow-up, 48 eyes received anatomical reduction with a success rate of 80%. Visual acuity improved in 43 eyes, of which 32 eyes had visual acuity ≥0.05. Vitrectomy, membrane stripping create the conditions for silicone oil filling and give full play to the role of silicone oil filling, and silicon oil filling perfected the vitreous surgery and increase the success rate. The author of the silicone surgery theory, indications, advantages and disadvantages and complications are also briefly discussed.