论文部分内容阅读
应用玻璃体切割联合硅油填充术治疗复杂性视网膜脱离９例（９只眼），其中合并ＰＶＲＣ３～ＰＶＲＤ２７只眼，巨大视网膜裂孔合并ＰＶＲＤ３１只眼，巨大视网膜裂孔１只眼。除１只为巨大视网膜裂孔眼以前未行手术外，余均为３～５次手术失败眼。随诊２～２３个月，平均１２．６个月。视网膜完全复位３只眼，视力均在０．０２以上。３只眼术后取出硅油，其中１只眼复发视网膜脱离。硅油填充对常规视网膜复位术无法治愈的视网膜脱离有一定治疗作用；但并发症较多，故需严格掌握适应证。术后４～６个月视网膜复位，色素上皮与神经上皮粘连牢固，可取出硅油。
Nine patients (9 eyes) with complicated retinal detachment were treated with vitrectomy combined with silicone oil filling, of which 27 eyes were combined with PVRC3 ~ PVRD, and there were giant retinal tears with PVRD31 eyes and giant retinal tears. Except for a huge retinal tear eye surgery before no surgery, the remaining three to five times the surgery failed eyes. Follow-up 2 to 23 months, an average of 12.6 months. Retinal complete reduction of 3 eyes, visual acuity are more than 0.02. Three eyes were removed silicone oil, retinal detachment in which one eye recurrence. Silicone oil filled retinal detachment on conventional retinal detachment has a certain therapeutic effect; but more complications, it is necessary to strictly control the indications. Retinal reattachment 4 to 6 months after surgery, pigmented epithelial and neural epithelial adhesions firm, can be removed silicone oil.