论文部分内容阅读
目的 探讨硅油取出的时机、方法及硅油取出能否防止并发症。方法 分析20 例由于严重并发症的出现而施行硅油取出术的病人,平均取出时间为14.7 月。结果 20 只眼取硅油。2 眼为注硅油后视网膜脱离复发,取硅油后1 眼再施视网膜脱离复位术后视网膜平复,1 眼未再手术。2 眼硅油取出后发生视网膜脱离,余16 眼取硅油后视网膜仍在位。结论 硅油取出是治疗硅油注入术后并发症的有效措施,但视网膜脱离术后不宜早期取出全部硅油。视网膜裂孔和增殖性玻璃体视网膜病变(PVR)的完善处理及术后不要早期取硅油是降低视网膜脱离复发的关键。硅油取出时机为稳定的视网膜复位后或出现硅油注入并发症时
Objective To explore the timing and method of removing silicone oil and whether the removal of silicone oil can prevent the complications. Methods Twenty patients who underwent silicone oil removal due to the presence of serious complications were analyzed for mean withdrawal time of 14.7 months. Results 20 eyes to take silicone oil. Retinal retinal detachment was observed in 2 eyes after injection of silicone oil. Retinal reattachment was performed on the first retina after silicone oil was applied and the retina was repaired. One eye was not reoperated. Retinal detachment occurred after removal of silicone oil in 2 eyes, retinal remnants were still in place after the remaining 16 eyes were treated with silicone oil. Conclusion Silicone oil removal is an effective treatment for the complications of silicone oil injection. However, it is not advisable to remove all silicone oil early after retinal detachment. The perfect treatment of retinal breaks and proliferative vitreoretinopathy (PVR) and postoperative do not take early silicone oil is the key to reduce the recurrence of retinal detachment. Silicone oil removal timing is stable after retinal replacement or silicone oil injection complications