硅酮油的外科的管理在 vitrectomy 以后移居了直到 suprachoroidal 空间

• 作者: and Jia Qu Bin Zheng Li-Jun Shen Zong-Duan Zhang
• 来源期刊: 国际眼科杂志：英文版
• 学科: 医学
• 关键词: SILICONE oil MIGRATION suprachoroidal space SURGICAL management
• 年，卷（期）: 2011,（4）
• 页码范围: 458-460
• 页数: 3页
• 分类号: R779.6

摘要

AIM: To report a successful surgical management of silicone oil migrated into suprachoroidal space after the repair of the retinal detachment with hemorrhagic choroidal detachment. METHODS: Retrospective observational case report. A 30-year-old man with retinal detachment and hemorrhagic choroidal detachment due to severe corneal penetrating injury, underwent a pars plana lensectomy and vitrectomy, endolaser, and silicone oil tamponade followed by transscleral suprachoroidal hemorrhage drainage in the right eye. One week later, a localised temporal choroid elevation was noted. This persistent elevation was confirmed by operation research to be silicone oil migration into suprachoroidal space. RESULTS: The migrated silicone oil was drained via trans-scleral cut down, and the intravitreal silicone oil was removed and replaced by 16% C2F6. Over the next 2 weeks, the elevation vanished and the choroid became completely flat. CONCLUSION: The migration of silicone oil into suprachoroidal space is a rare complication of vitrectomy. The pathway of the migration is most likely through internal orifice of sclerotomy sites. Trans-scleral drainage surgery is an effective method to remove the migrated silicone oil from suprachoroidal space.