PDF(Pubmed)
Abstract：
OBJECTIVE: To evaluate scleral buckling (SB) surgery using a non-contact wide-field viewing system and 23-gauge intraocular illumination for the treatment of rhegmatogenous retinal detachment in silicone oil (SO)-filled eyes.
METHODS: Totally 9 patients (9 eyes) with retinal detachment in SO-filled eyes were retrospectively analyzed. All patients underwent non-contact wide-field viewing system-assisted buckling surgery with 23-gauge intraocular illumination. SO was removed at an appropriate time based on recovery. The patients were followed up for at least 3mo after SO removal. Retinal reattachment, complications, visual acuity and intraocular pressure (IOP) before and after surgery were observed.
RESULTS: Patients were followed up for a mean of 8.22mo (3-22mo) after SO removal. All patients had retinal reattachment. At the final follow-up, visual acuity showed improvement for 8 patients, and no change for 1 patient. The IOP was high in 3 patients before surgery, but it stabilized after treatment; it was not affected in the other patients. None of the patients had infections, hemorrhage, anterior ischemia, or any other complication.
CONCLUSIONS: This new non-contact wide-field viewing system-assisted SB surgery with 23-gauge intraocular illumination is effective and safe for retinal detachment in SO-filled eyes.
METHODS: Totally 9 patients (9 eyes) with retinal detachment in SO-filled eyes were retrospectively analyzed. All patients underwent non-contact wide-field viewing system-assisted buckling surgery with 23-gauge intraocular illumination. SO was removed at an appropriate time based on recovery. The patients were followed up for at least 3mo after SO removal. Retinal reattachment, complications, visual acuity and intraocular pressure (IOP) before and after surgery were observed.
RESULTS: Patients were followed up for a mean of 8.22mo (3-22mo) after SO removal. All patients had retinal reattachment. At the final follow-up, visual acuity showed improvement for 8 patients, and no change for 1 patient. The IOP was high in 3 patients before surgery, but it stabilized after treatment; it was not affected in the other patients. None of the patients had infections, hemorrhage, anterior ischemia, or any other complication.
CONCLUSIONS: This new non-contact wide-field viewing system-assisted SB surgery with 23-gauge intraocular illumination is effective and safe for retinal detachment in SO-filled eyes.
摘要：
目的：使用非接触式宽视野观察系统和23号眼内照明评估巩膜扣带术（SB）手术治疗硅油（SO）填充眼的孔源性视网膜脱离。
方法：回顾性分析9例（9眼）SO眼视网膜脱离患者。所有患者均接受23号眼内照明的非接触式宽视野观察系统辅助屈曲手术。在基于恢复的适当时间去除SO。去除SO后，对患者进行了至少3mo的随访。视网膜复位,并发症,观察患者手术前后的视力和眼压。
结果：患者在去除SO后平均随访8.22mo（3-22mo）。所有患者均有视网膜复位。在最后的后续行动中，8例患者视力改善,1名患者没有变化。3例患者术前眼压偏高，但治疗后稳定下来；其他患者没有受到影响。病人都没有感染,出血,前缺血,或任何其他并发症。
结论：这种新型的非接触式宽视野观察系统辅助的SB手术，具有23号眼内照明，对于SO填充眼的视网膜脱离是有效且安全的。
方法：回顾性分析9例（9眼）SO眼视网膜脱离患者。所有患者均接受23号眼内照明的非接触式宽视野观察系统辅助屈曲手术。在基于恢复的适当时间去除SO。去除SO后，对患者进行了至少3mo的随访。视网膜复位,并发症,观察患者手术前后的视力和眼压。
结果：患者在去除SO后平均随访8.22mo（3-22mo）。所有患者均有视网膜复位。在最后的后续行动中，8例患者视力改善,1名患者没有变化。3例患者术前眼压偏高，但治疗后稳定下来；其他患者没有受到影响。病人都没有感染,出血,前缺血,或任何其他并发症。
结论：这种新型的非接触式宽视野观察系统辅助的SB手术，具有23号眼内照明，对于SO填充眼的视网膜脱离是有效且安全的。
