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目的评价部分硅油取出术治疗眼内硅油填充术后早期并发症的效果。方法对15例(15眼)曾行硅油部分取出术的病例进行回顾性分析。包括硅油异位入前房10眼;硅油过量引起难以控制的眼内压升高5眼。结果随访1～7月(平均3.7月)。15眼视网膜解剖复位;眼内压正常;1眼角膜变性,2眼有晶状体眼,晶状体后囊混浊。结论对眼内硅油充填术后早期出现的硅油位置异常、难以控制的眼内压升高考虑为硅油过量时,及时行部分硅油取出术.能减少后期硅油所导致的一系列并发症。
Objective To evaluate the effect of partial silicone oil removal on the early complications of intraocular silicone oil filling. Methods A total of 15 cases (15 eyes) who underwent partial silicone oil removal were retrospectively analyzed. Including silicone oil heterotopic into the anterior chamber 10; excessive silicone oil caused by difficult to control intraocular pressure 5 eyes. The results were followed up from January to July (average 3.7 months). 15 eyes retina anatomic reduction; normal intraocular pressure; 1 corneal degeneration, 2 eyes with phakic eyes, posterior capsule opacity. CONCLUSIONS: In the early stage of intraocular silicone oil filling, abnormal position of silicone oil appeared and difficult to control intraocular pressure was considered as excessive silicone oil, and timely removal of part of silicone oil could reduce a series of complications caused by late silicone oil.