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-  2018 

巩膜外加压治疗硅油眼复发性视网膜脱离 Sclera Buckling for Recurrent Retinal Detachment in Silicone Oil Tamponaded Eyes

Keywords: 复发性视网膜脱离,硅油眼,巩膜外加压

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Abstract:

目的:评价巩膜外加压术治疗硅油填充眼复发视网膜脱离的效果。方法:回顾性分析我院2013年1月至2016年4月间收治的硅油填充术后发生视网膜脱离并行巩膜外加压治疗的患者54例54只眼。观察其术后至眼内硅油取出3月内视网膜复位、视力及眼压情况。结果:巩膜外加压术后视网膜复位48例,6例术后随访中发现视网膜未复位而改行玻璃体切割联合硅油填充术,再次手术后视网膜复位。术后术眼眼压增高超过25mmHg者18例,其中,4例取出部分硅油后眼压降至正常,其余14例保守治疗1周内眼压恢复正常。结论:对于硅油眼复发性视网膜脱离,如裂孔位于下方或较周边处,增生性玻璃体视网膜病变处于A或B级,屈光介质不影响眼底检查,可首选巩膜外加压术治疗

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