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有晶状体眼前房硅油改良取出方法的观察

Observation on the modified removal of anterior chamber silicone oil in phakic eye
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摘要 目的观察玻璃体切除术后有晶状体眼前房硅油的改良取出方法。方法回顾性研究2012年1月至2017年12月于本院行玻璃体切除联合硅油充填者,有晶状体眼术后早期硅油进入前房者11例(11眼)的临床资料、采用改良方法取出前房硅油术中先行巩膜穿刺放岀少许玻璃体腔的液体和硅油,常规行6点位周边虹膜切除术,最后冲洗出前房硅油。术后随访观察3个月。结果术后早期10眼前房硅油完全被清除,1眼前房残留少许硅油.11眼均未见晶状体损伤。术后3个月内均未出现硅油再次进入前房结论改良的前房硅油取出方法能较好的清除前房硅油,操作简便,且能避免硅油再次进入前房. Objective To observe the modified removal of anterior chamber silicone oil in phakic eye after vitrectomy. Methods The data of 11 phakic eyes of 11 patients that silicone oil migrated into the anterior chamber after vitrectomy from Jan. 2012 to Dec. 2017 were analyzed retrospectively. All cases received modified removal of silicone oil from anterior chamber. During the operation, all cases received scleral puncture firstly to release small anionts of liquid and silicone oil from the vitreous cavity. And then they underwent peripheral iridectomy at 6 oclock position routinely. Finally, silicone oil was flushed out from the anterior chamber. The follow-up time was 3 months. Results Silicone oil was removed completely in 10 eyes, and a small amonts of silicone oil was left in 1 eye. No injuried lens occurred. At 3 months after treatnieat, no silicone oil reappeared in the anterior chamber in 11 eyes. Conclusion The modified method can remove silicone oil from the anterior chamber well and easily, and avoid recmdesce.
作者 姜剑 王瑞华 王夏平 Jiang Jian;Wang Ruihua;Wang Xiaping(Taiyuan Aier Eye Hospital, Taiyuan 030012, China)
出处 《中华眼外伤职业眼病杂志》 2019年第2期105-107,共3页 Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词 硅油 前房 有晶状体眼 取出方法 改良 并发症 Silicone oil, anterior chamber, phakic eye Removal, modified Complication
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