摘要
目的 探讨儿童外伤性视网膜脱离硅油取出术后的效果及影响视力预后的因素。方法 回顾分析1994年9月-1999年4月,15岁以下儿童外伤性复杂视网膜脱离27例27眼硅油取出术后的临床资料,随访时间3月-48月,平均19.3月。结果 视网膜复位23例,视网膜脱离4例。术后视力光感-数指15例;0.05-0.612例。结论 硅油充填术后是治疗儿童复杂性外伤性视网膜脱离的有效方法。硅油取出术后的视网膜脱离复发是最多见的合并症,影响儿童视力预后因素与术前外伤程度、复发性视网膜脱离、角膜带状变性、继发性青光眼及剥夺性弱视等多种因素有关。
Objective To evaluate the efficacy and affecting factors for visual prognosis after silicone oil removal for traumatic retinal detachments in children( ≤ 15years). Methods We analysed retrospectively 27 cases (27 eyes) of traumatic retinal detachments in children,in whom siliconeoil removal were performed from September 1994 to April 1999.Results After 3 - 48 months (mean 19.3months) of follow up,among 27 eyes23 eyes were attached and 4 eyes were redetached. Postoperative visual acuity was light perception to count fingers in 15 eyes and 0.05 - 0.6 in12 eyes. Conclusion Silicone oil tamponade is an effective therapy for traumatic retinal detachment in children. Retinal redetachment was theleading complication after silicone oil removal. The affecting factors for visual prognosis were related to the degree of primary trauma redetach-ment of retina, band corneal degeneration, secondary glaucoma and the deprivation amblyopia, etc.
出处
《眼外伤职业眼病杂志》
北大核心
2002年第6期623-625,共3页
Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
