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目的探讨硅油填充术后视网膜再脱离的特点及处理方式。设计回顾性病例系列。研究对象55例(55眼)硅油填充术后视网膜再脱离患者。方法分析硅油填充术后视网膜再脱离患眼的临床表现,并分别采取硅油取出联合玻璃体视网膜手术、硅油下视网膜复位手术及单纯巩膜扣带术复位治疗,术后随访3个月。主要指标视网膜再脱离临床表现、视网膜复位情况及视力。结果硅油填充术后视网膜再脱离的特点为下方脱离为主,范围常小于2个象限,多伴有再增生及裂孔。50眼再次行手术治疗,39眼行硅油取出联合玻璃体视网膜手术,9眼行硅油下视网膜复位手术,2眼行单纯巩膜扣带术。随访期间,完全复位41眼(78％),部分复位7眼,未复位2眼。结论硅油填充术后视网膜再脱离较为复杂,需根据视网膜再脱离的特点,针对性地选择手术方法。
Objective To investigate the characteristics and treatment of retinal detachment after silicone oil-filled surgery. Design retrospective case series. Subjects 55 patients (55 eyes) after silicone oil-filled retinal detachment patients. Methods The clinical manifestations of retinal detachment after silicone oil refill were analyzed. The patients were treated with silicone oil removal combined with vitreoretinal surgery, silicone oil retinal reattachment and simple scleral buckling. The patients were followed up for 3 months. The main indicators of retinal detachment from clinical manifestations, retinal reattachment and visual acuity. Results The retinal detachment after silicone oil filling was characterized by the following detachment. The range was usually less than 2 quadrants, accompanied by hyperplasia and hiatus. Fifty-two eyes underwent surgical treatment again. Thirty-nine eyes underwent silicone oil removal combined with vitreoretinal surgery, nine underwent silicone oil retinal reattachment and two underwent simple scleral buckling. During the follow-up period, 41 eyes (78%) were completely reset, 7 eyes partially reset, and 2 eyes were not reset. Conclusion The retinal detachment after silicone oil-filled surgery is more complicated. According to the characteristics of retinal detachment, the surgical methods should be selected.