摘要
目的评价23G套管经结膜无缝线硅油取出联合气液交换术的治疗效果。方法回顾性分析39例曾行玻璃体切除联合硅油填充术的临床资料,硅油填充2个月以上,经结膜以23G穿刺套管抽吸硅油,部分气液交换并清除残油,部分保留玻璃体腔空气填充。观察术后情况。结果硅油抽吸时间:3.5~6.5min,平均为(4.63±0.98)min,手术全程时间为15~35min,平均为(20.1±6.2)min。术后29例(74.4%)的BCVA提高,5例(12.8%)保持不变,另有5例(12.8%)轻度下降。3例(7.7%)可见玻璃体腔少量散在乳化硅油颗粒。所有患者未出现玻璃体腔出血、复发性视网膜脱离或脉络膜脱离等严重并发症。仅有1例(2.5%)眼压低至6mmHg(1mmHg=0.133kPa),穿刺口渗液需要缝合。结论经结膜无缝线23G硅油取出联合气液交换术能有效、安全、快捷地取出玻璃体腔硅油。
Objective To evaluate the efficacy of silicone oil removal with 23-gauge transconjunctival trocar-cannulas and gas-fluid exchange.Methods The data of 39 patients received vitrectomy and silicone oil tamponade were analyzed retrospectively.Silicone oil was removed through the 23 G cannula more than 2 months later.The residual oil was removed by gas-liquid exchange.The vitreous cavity was filled with air partly.Results The time for draining out the silicone oil was 3.5-6.5 min ,with average of (4.63±0.98) min and the time of complete operation was 15-35 min,with average of (20.1±6.2) min,respectively.The postoperative BCVA improved in 29 cases (74.4%),unchanged in 5 cases (12.8%),and experienced mild deterioration in 5 cases (12.8%).Three cases with residual oil bubbles were observed.No vitreous hemorrhage,retinal redetachment or choroid detachment occurred during the follow-up.IOP was 6 mmHg in 1 case (1 mmHg=0.133 kPa),and the water leakage of the puncture site was sewed up.Conclusion The surgery of silicone oil removal with 23G transconjunctival sutureless trocar-cannulas and gas-fluid exchange is effective,safe and quick.
作者
文晔
杨瑞明
沙翔垠
Wen Ye;Yang Ruiming;Sha Xiangyin(Department of Ophthalmic Center,the Second Affiliated Hospital of Guangzhou Medical University,Guangzhou 510260,China)
出处
《中华眼外伤职业眼病杂志》
2018年第12期900-903,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
硅油
取出
23G套管
元缝线
经结膜
气液交换
Silicone oil,removal,23-gauge,cannula,sutureless,transconjunctival
Gas-fluid exchange
作者简介
通信作者:沙翔垠,Email:shaxiangyin@163.com
