摘要
目的 探讨折叠式人工玻璃体球囊(FCVB)植入治疗硅油依赖眼的临床效果.方法 回顾分析2021年4月—2022年2月就诊于复旦大学附属眼耳鼻喉科医院且因硅油依赖眼行FCVB植入术的患者临床资料,评价FCVB植入的效果.结果 本研究共纳入104例(104眼),其中男性74例、女性30例.平均年龄为(36.00±18.25)岁(3～68岁).所有眼均为硅油依赖眼,包括眼外伤94眼(90.4％),急性视网膜坏死3眼,复杂性视网膜脱离7眼.平均随访时间为(337.50±102.03)d(180～550 d).所有患者行25 G玻璃体切除联合FCVB植入术,残留的视网膜均成功复位,术前眼压、眼轴及最佳矫正视力与术后相比,差异均无统计学意义.所有患眼FCVB植入均顺利,未发生眼内炎、引流阀暴露及球囊破裂等严重并发症.14眼(13.5％)术后角膜混浊程度加重.15眼(14.4％)术后发生前房积血,再次行前房冲洗术.5眼(4.8％)因虹膜缺失,球囊向前移位,再次行前房成形术.结论 FCVB植入治疗硅油依赖眼,经短期随访,可以维持眼球形态,防止眼球萎缩,但其长远效果仍需进一步长期随访研究.
Abstract
Objective To investigate the effect of foldable capsular vitreous body(FCVB)implantation in the treatment of silicone oil-dependent eyes.Methods The clinical data of patients who had undergone FCVB implantation for silicone oil dependent eyes in Eye & ENT Hospital of Fudan University from April 2021 to February 2022 were retrospectively analyzed.The effect of FCVB implantation was evaluated.Results A total of 104 eyes of 104 patients were included in this study including 74 males and 30 females.The mean age was(36.00±1 8.25)years(range,3～68 years).All the eyes were silicone oil dependent,including 94 eyes with ocular trauma(90.4％),3 eyes with acute retinal necrosis,and 7 eyes with complex retinal detachment.The mean follow-up time was(337.50±102.03)days(180～550 days).All the patients underwent 25 G vitrectomy combined with FCVB implantation,and the residual retina were successfully reattached.There were no significant differences in intraocular pressure,axial length and best corrected visual acuity before and after the surgery.FCVBs were successfully implanted in all the eyes without serious complications such as endophthalmitis,drainage valve exposure and capsula rupture.Fourteen eyes(13.5％)had worse corneal opacity after surgery.Fifteen eyes(14.4％)had hyphema after the implantation and underwent anterior chamber irrigation.Five eyes(4.8％)underwent anterior chamber reshaping surgery due to FCVB anterior displacement.Conclusions FCVB implantation can maintain the shape of the eyeballs in silicone oil-dependent eyes and prevent them from atrophy after short-term follow-up.However,its long-term effect needs further study with long-term follow-up.
维普
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