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目的 观察玻璃体视网膜手术中应用过氟化碳液体后在前房中残留的小滴长期影响。方法 观察组有 9例 (9只眼 ) ,均为复杂性视网膜脱离玻璃体视网膜手术后 ,在前房内残留全氟萘烷液体的患者。手术方法为玻璃体切除联合巩膜扣带技术 ,包括三通道睫状体平部晶状体 /玻璃体切除、膜剥离、全氟萘烷液体使用、眼内激光、硅油 -全氟萘烷液体交换或气体 -全氟萘烷液体交换。平均随访 10 .3mo。结果 9例患者术后前房中发现全氟萘烷液体 3～ 30滴 (平均 14滴 ) ,追踪期内所有的患者角膜透明 ,未见角膜基质肿胀和增厚、内皮损害、后弹力层皱折及血管侵入角膜基质层 ,未见明显的炎症反应及眼压增高。结论 全氟萘烷液体小滴在前房内长期残留 ,无明显毒性反应 ,不会引起明显眼部损害及眼部感染
Objective To observe the long-term effects of residual droplets in the anterior chamber after the application of perfluorocarbon liquid in vitreoretinal surgery. Methods Nine patients (9 eyes) in the observation group were all patients with residual perfluorodecalin liquid in the anterior chamber after complex retinal detachment under vitreoretinal surgery. Surgical methods include vitrectomy combined with scleral buckling, including three-channel ciliary body pars plana / vitrectomy, membrane dissection, perfluorodecalin liquid use, intraocular laser, silicone oil-perfluorodecalin liquid exchange, or gas- Fluorodecalin liquid exchange. The average follow-up of 10 .3mo. Results In 9 patients, 3 to 30 drops of perfluorodecalin liquid (average 14 drops) were found in the anterior chamber of the postoperative patients. All the corneas were transparent in the follow - up period. No corneal stromal swelling and thickening, no endothelial damage, Fracture and vascular invasion of the corneal stroma, no significant inflammatory reaction and increased intraocular pressure. Conclusion Perfluorodecalin liquid droplets remain in the anterior chamber long-term, no significant toxicity, does not cause significant eye damage and eye infections