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目的:探讨玻璃体切除联合硅油填充治疗复杂性视网膜脱离术后 ,硅油填充期间发生视网膜再脱离的原因及处理方法。方法 :回顾总结分析 2 8眼硅油填充期间发生视网膜再脱离的原因 ,对不同眼底表现分别采取巩膜外顶压联合眼外激光封孔 ,硅油取出、剥膜、再次眼内填充 ,硅油下视网膜剪开等术式 ,观察治疗效果。结果 :2 8眼有 2 5眼解剖复位 ,3眼复位后再脱离 ,成功率为 89 3%。其中一次手术成功率 78 6 %。结论 :术后增殖膜形成牵引是硅油填充期间视网膜再脱离的主要原因 ,对不同类型的视网膜再脱离 ,应采取不同治疗措施
OBJECTIVE: To investigate the causes and treatment of retinal detachment after vitrectomy and silicone oil filling in the treatment of complex retinal detachment. Methods: Retrospectively analyzed the causes of retinal reattachment during silicone oil filling in 28 eyes. The different fundus manifestations were scleral buckling combined with external laser sealing, silicone oil removal, stripping, intraocular filling, silicone oil retinal scission Open surgery, observation of treatment. Results: Twenty-five eyes had anatomic reduction in 25 eyes and three eyes were detached after reduction. The success rate was 89.3%. One of the surgical success rate of 78 6%. CONCLUSION: Prolonged proliferative membrane formation and traction are the main causes of retinal detachment during silicone oil filling. Different types of retinal detachment should be treated differently