山东大学耳鼻喉眼学报

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硅油取出治疗硅油性青光眼的疗效观察

谭瑞礼,王玉,季强,范传峰   

  1. (济南市第二人民医院眼科, 济南 250001)
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2009-02-16 发布日期:2009-02-16
  • 通讯作者: 谭瑞礼

Silicone oil removal to control high intraocular eye pressure

TAN Ruili, WANG Yu, JI Qiang, FAN Chuanfeng
  

  1. (Department of Ophthalmology, Second People′s Hospital of Jinan, Jinan 250001, China)
  • Received:1900-01-01 Revised:1900-01-01 Online:2009-02-16 Published:2009-02-16
  • Contact: TAN Ruili

摘要: 目的探讨硅油性青光眼行硅油取出后眼压的控制情况。方法2006年6月~2007年3月收住的84例(84眼)硅油性青光眼患者,按照有无晶状体及有无硅油乳化情况分组,观察硅油取出手术前后的眼压、眼底等情况,并对相关数据进行统计学处理。结果硅油取出手术前后眼压的差异具有统计学意义(P<0.05),术后眼压的控制率为57.1%。其中,有晶体眼组和无晶体眼组术后眼压控制率的差异无统计学意义(P>0.05),而硅油乳化组和未乳化组的差异具有统计学意义(P<0.05),多因素分析术后眼压控制不良的危险因素为硅油乳化和注入病程。结论多于半数的硅油性青光眼可以在硅油取出后恢复正常眼压。硅油未乳化者的成功率高于已乳化者。

关键词: 硅油取出术, 眼压, 硅油性青光眼

Abstract: To evaluate the effect of silicone oil removal on control of high intraocular pressure (IOP) of eyes after silicone oil injection. Methods84 cases subjected to inhospital treatments from June 2006 to March 2007 were grouped based on whether there was lens and silicon oil emulsification. Preoperative and postoperative IOP and other conditions were compared. ResultsAfter silicone oil was removed, the intraocular pressure was controlled to normal in 48 cases (57.1%). There were no statistical differences in efficiency between phakic and aphakic eyes (P>0.05). There were significant statistical differences in efficiency between the emulsified silicone oil cases and the nonemulsified cases (P<0.05). ConclusionSilicone oil removal is effective in controlling high IOP after intravitreal silicone oil injection. Cases without silicone oil emulsification may have better therapeutic value than those with emulsification oil.

中图分类号: 

  • R775.3
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