折叠式人工玻璃体球囊在硅油依赖眼中的临床应用 研究.

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±18.25) 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. [ABSTRACT FROM AUTHOR]