关键词: 脉络膜脱离；玻璃体切除, 视网膜脱离

Abstract:

Objective   To evaluate the efficacy of vitreous surgery combined with silicon oil tamponade for patients with rhegmatogenous retinal detachment associated with choroidal detachment． Methods   A total of 21 patients with rhegmatogenous retinal detachment associated with choroidal detachment were enrolled in this study.All the patients received vitrectomy and silicone oil tamponade with using non-contact wide-angle lens and some patients received combined lens surgery. The pre- and post-operative visual acuity, intraocular pressure(IOP) and retinal reattachment rate were analyzed． Results   The rate of retinal reattachment after single-surgery was 71.5％(15/21) and final reattachment rate was 90.5％(19/21)． The best corrected visual acuity (BCVA) was >0.1 in 7 eyes (33.3%) after surgery, and visual acuity increased in 17 eyes (80.9%).  Average intraocular pressure(IOP) was 6.1mmHg before surgery and 14.8mmHg after surgery, with a significant difference between them (P<0.05)．Conclusion   Vitreous surgery combined with silicon oil tamponade for patients with rhegmatogenous retinal detachment associated with choroidal detachment is efficient and safe．

Key words: Vitreous surgery, Choroidal detachment, Retinal detachment