硅油填充術(shù)后復(fù)發(fā)性視網(wǎng)膜脫離的臨床分析.pdf

1、上海醫(yī)科大學(xué)碩士學(xué)位論文硅油填充術(shù)后復(fù)發(fā)性視網(wǎng)膜脫離的臨床分析姓名：干德康申請學(xué)位級別：碩士專業(yè)：眼科學(xué)指導(dǎo)教師：徐格致20000501英文摘要RecurrentRetinalDetachmentinSilicone0il—RetainedEyeRecurrentretinaldetachmentiSacommonoccurrencefollowingvitrectomycombinedwithsiliconeoiltamponadei

2、nthetreatmentofrhegmatogenousretinaldetachmentandsevere(withaclassificationofatleastC一3)proliferativevitreoretinopathy(PVR)Thepercentageofoil—retainedeyeswithrecurrentretinaldetachment(RRD)israngefrom15％to20％Iretrospecti

3、velyreviewedrecordsof54patients，54eyes，38males，16femalesThemeanfollow—u口periodwas875weeksThepurposeofmystudyistopresentthereasonsofRRDinoilretainedeyes，andtoevaluatethemanagementofRRDAjIeyeswithRRDwereexamined37eyes(37／5

4、4，685％)hadrecurrentinferiorretinaldetachmentTheinferioropenretinaIbreakwasnoticedin22eyes(22／35，629％)Thereformationofinferiorproliferationwithinvitreouscavitywasseenin537％of4Ieyes5Ieyeswereoperatedonagain38eyeshadvitreor

5、etinalsurgeryaftersiliconeoilwasremovedTheselectedintraoculartamponadewasdonein23eyestosiliconeoil，l4eyestoC]F8gas，andleyetoairThelastfollow—updataofcompletedretinalreattaehment(CRR)was35eyes(35／38)7oil—retainedeyesunder

6、wentscleralbucklingsurgeryThedataofCRRwas5eyes(5／7)Theresultindicatedthatthepathologicalandphysicalchangeinoil—retainedeyewasmostoftenintheinferiorretinaThisRRDwasoftenintheinferiorretinaandmaybetheresultofeithersignific

7、entrecurrentproliferationortractiveretinalbreakTheretinalreattachmentcouldbeobtainedinmosteyesaftersubsequentsurgeryThekeyofsurgeryisrelievingtractionandclosingbreaksThemethodcurrentlyavailabletoreattachretinaiSintemalta