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目的评价重硅油眼内填充治疗未见裂孔的视网膜脱离的临床疗效。方法对未见裂孔的视网膜脱离患者7例(7眼)行玻璃体切割联合玻璃体腔重硅油(Oxane HD)填充术。结果术后随访89～248 d,均未发现视网膜再次脱离;2例患者视力提高,2例视力不变,3例视力下降。术后5例眼压异常,其中2例患者眼压低于10 mmHg,3例患者眼压高于21 mmHg;2例患者发现少量前房重硅油浮游。未发现并发性白内障、重硅油乳化、严重的前房炎症反应等与硅油相关的其他并发症。结论对非裂孔源性视网膜脱离行玻璃体切割联合玻璃体腔重硅油填充术,可获得满意的视网膜复位效果,并发症发生率也较低,可提高患者的舒适性。
Objective To evaluate the clinical effect of intraocular injection of silicone oil in the treatment of retinal detachment. Methods Seven patients (7 eyes) with retinal detachment without vitreous hysterectomy were treated with vitrectomy combined with vitrectomy with intraoperative oxygen filling. Results The retinal detachment was not found after 89 to 248 days of follow-up. The visual acuity was improved in 2 cases, the visual acuity was unchanged in 2 cases, and the visual acuity was decreased in 3 cases. The postoperative IOP was abnormal in 5 cases. The intraocular pressure was lower than 10 mmHg in 2 cases and the intraocular pressure was higher than 21 mmHg in 3 cases. A small amount of anterior chamber heavy silicone oil was found in 2 cases. No other complications associated with silicone oil were found, such as complicated cataract, heavy silicone oil emulsion, severe anterior chamber inflammatory response, and the like. Conclusions The vitrectomy combined with vitrectomy and silicone oil filling in non-retinal rhegmatogenous retinal detachment can achieve satisfactory results of retinal reattachment with a lower complication rate, which can improve patient comfort.