双通道27G玻璃体切除术治疗硅油填充眼复发性视网膜脱离
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Recurrent retinal detachment in silicone oil-filled eyes treated with two-port 27-gauge pars plana vitrectomy
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    摘要:

    目的:研究双通道27G玻璃体切除术在硅油填充状态下治疗复发性视网膜脱离的可行性及优缺点。

    方法:回顾性研究。7例硅油填充眼在随访时发现下方视网膜浅脱离。在硅油填充状态下行双通道27G玻璃体切除术。术中完成视网膜表面增殖膜剥离、视网膜下液抽吸,并在视网膜复位后行硅油下视网膜激光光凝术,根据患眼病情辅以巩膜外垫压或环扎。

    结果:术后所有患眼视网膜均成功复位,术中未发生严重并发症。所有患眼术后眼表反应轻且视力迅速恢复至术前水平。1眼在术后20d出现视网膜再脱离,经传统的硅油取出联合视网膜复位术成功复位视网膜。

    结论:双通道27G玻璃体切除术是一个治疗硅油填充眼早期视网膜再脱离的有效方法,可能具有更高的性价比。

    Abstract:

    AIM: To evaluate the feasibility and advantages of two-port 27-gauge pars plana vitrectomy for treatment of recurrent retinal detachment in silicone oil dwelling eyes.

    METHODS: A retrospective study. Two-port 27-gauge pars plana vitrectomy was performed in 7 eyes with recurrent retinal detachment without remove of silicone oil. Proliferative membrane peeling, endolaser treatment, and drainage of subretinal fluid were performed. Scleral bulking was performed if necessary.

    RESULTS: Sucessful retina re-attachment was accomplishied in all eyes. No visually significant intraoperative complication occurred. All eyes expericend quick recoveray of visual acuity and mild postoperative irritation. One eye developed a recurrent inferior retinal detchment in 20d after the surgery using non-remove technique, and recovered after conventional silicone oil removal and retinal reattachment surgery.

    CONCLUSION: Two-port 27-gauge pars plana vitrectomy is an efficacious(and potentially cost-efficient)method to treat early stage recurrent retinal detachment in silicone oil dwelling eyes.

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刘三梅,李杰,董文韬,等.双通道27G玻璃体切除术治疗硅油填充眼复发性视网膜脱离.国际眼科杂志, 2017,17(9):1620-1624.

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  • 收稿日期:2016-12-14
  • 最后修改日期:2017-06-29
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  • 在线发布日期: 2017-08-22
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