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目的 :观察玻璃体切除联合硅油填充 (使用 5 0 0 0粘度硅油 )治疗儿童复杂性视网膜脱离 ,并报道其解剖复位、视力改变及并发症。方法 :回顾分析了 6 9例 6 9只眼 15岁以下儿童行玻璃体切割联合硅油填充治疗情况。结果 :视网膜复位情况 :完全视网膜复位 5 1/ 6 9(74% ) ,黄斑区视网膜复位 5 6 / 6 9(81% )。视力改变 :有用视力 (≥ 0 .0 2 )占 46 /6 9 (6 7% ) ,保留原术前视力或更好 5 9/ 6 9(86 % )。并发症 :术后高眼压 2 0 / 6 9(2 9% ) ,低眼压 4/ 6 9(6 % ) ,角膜改变 9/ 6 9(13% ) ,白内障 6 / 32 (19% ) ,前部 PVR或 PVR再增殖 2 1/ 6 9(30 % )。结论 :玻璃体切割联合硅油填充是治疗儿童复杂性视网膜脱离的有效方法。从视网膜复位、术后视力及术后并发症三方面来看 ,视网膜巨大裂孔组手术效果最佳。术后的前部 PVR形成和 PVR再增殖是造成视网膜再脱离的主要原因
OBJECTIVE: To observe the combination of vitrectomy and silicone oil filling (using 5000 viscosity silicone oil) in the treatment of children complicated retinal detachment and to report the anatomic reduction, visual acuity and complications. Methods: A retrospective analysis of 69 cases of 69 eyes of children under 15 years of age vitrectomy combined with silicone oil filling treatment. RESULTS: Retinal reattachment showed complete retinal reattachment of 51/69 (74%) and macular reattachment of 56/69 (81%). Visual acuity: Useful eyesight (≥0.0 2) accounted for 46/69 (67%), retaining the original preoperative vision or better 59/69 (86%). Complications: postoperative intraocular pressure was 20/69 (29%), low pressure 4/6 9 (6%), corneal changes 9/6 9 (13%), cataract 6/32 The anterior PVR or PVR was repopulated 2 1/6 9 (30%). Conclusion: Vitrectomy combined with silicone oil filling is an effective method to treat children complicated retinal detachment. From the retinal reattachment, postoperative visual acuity and postoperative complications in three aspects, the giant retinal surgery group the best effect. Postoperative anterior PVR formation and PVR repopulation are the major causes of retinal detachment