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玻璃体切除联合硅油填充的方法大大提高了复杂视网膜脱离的解剖复位率,然而远期疗效不尽相同,仍有11%～53%视网膜脱离复发的可能。1995年2月～1995年12月连续收治15例硅油术后复发性视网膜脱离,分别采取巩膜外手术、硅油下视网膜手术、硅油取出后玻璃体一视网膜手术等方法进行治疗。术后12例视网膜复位(80%),其术后视力为0.1～0.7者10只眼,0.05以下者2只限,随访3～10个月,平均4.8个月。本文讨论了硅油术后复发性视网膜脱离的临床特点、手术方法及其发病机理。
Vitrectomy combined with silicone oil filling method greatly improves the anatomic reduction rate of complex retinal detachment, however, the long-term efficacy is not the same, there is still 11% to 53% retinal detachment recurrence possible. From February 1995 to December 1995, 15 cases of recurrent retinal detachment after silicone oil surgery were treated. The patients underwent scleral surgery, silicone oil retinal surgery and vitreoretinal surgery after removal of silicone oil. Retinal resection was performed in 12 cases (80%). The postoperative visual acuity was 0.1-0.7 in 10 eyes. The following 2 were limited to 2 and were followed up for 3 to 10 months with an average of 4.8 months. This article discusses the clinical features, surgical methods and pathogenesis of recurrent retinal detachment after silicone oil surgery.