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目的：探讨硅油取出对硅油并发症的影响。方法：回顾性分析法国国家眼科中心视网膜完全复位随访６个月以上的硅油取出病例９６例９６只眼，平均硅油充填期限６．４个月。结果：取硅油后视网膜脱离复发率为７．３％，硅油取出后晶体混浊仍继续发展，硅油充填３个月以上者无一眼保存透明晶体。取硅油前５只眼角膜病变，取后２只眼恢复透明；取硅油后新发病例４只眼，最终７只眼角膜病变者前房均可见残存的细小油滴。１５只眼取硅油前继发高眼压药物不能控制，取后１２只眼眼压控制；取硅油后新发病例１１只眼，其前房角均存在小油滴残留。结论：早期取出硅油可延缓但不能阻止白内障发生，早期和完全取出硅油可能阻止角膜病变和青光眼的发展。
Objective: To investigate the effect of silicone oil removal on the complications of silicone oil. Methods: A retrospective analysis of the French National Eye Center retinal detachment followed-up of more than 6 months to remove silicone oil 96 cases 96 cases, the average silicone oil filling period of 6.4 months. Results: The recurrence rate of retinal detachment after silicone oil was 7.3%. After the silicone oil was taken out, the opacity of the lens continued to develop. The silicone oil filled for more than 3 months had no crystal preservation. Take the first 5 eyes of silicone oil corneal lesions, take 2 after the eye to restore transparency; take silicon oil after the new cases of 4 eyes, the final 7 corneal lesions were anterior chamber residual oil droplets can be seen. 15 eyes before taking silicone oil intraocular pressure can not be controlled after taking 12 eyes intraocular pressure control; take silicone oil after the new cases of 11 eyes, there are small oil droplets in the anterior chamber angle. CONCLUSIONS: Early removal of silicone oil may delay but not prevent cataracts, and early and complete removal of silicone oils may prevent the development of corneal lesions and glaucoma.