Vitrectomy and silicone oil injection were performed for treatment of 43 patients with complicated retinal detachment (RD, n=21 ) or subsequent atrophia bulbi (AB, n=22). Retinal reattachment was achieved in 14 (66.7%) of 21 patients with RD, including 11 with idiopathic proliferative vitreoretinopathy (PVR),6 with traumatic PVR, 3 with congenital uveal coloboma or Marfan syndrome. The visual acuity was better than 0.05 in 7(50%) of successful cases,and better than 0.02 in 11 (78.6%).Only 6(27.3%) patients had retina reattached with visual improvement in 22 cases of AB, including 13 of traumatic PVR,8 of idiopathic PVR.However,the intraoccular pressure was stable and shrinkage of the globe was controlled in 21 (95.5%) of 22 patients with AB.The results indicate that silicone off injection following vitrectomy may provide advanced severe PVR with a chance of successful treatment. （Chin J Ocul Fundus Dis,1994,10:4-6）
ObjectiveTo investigate the effect of posture nursing by specially-assigned person and psychological nursing on patients after vitrectomy combined with intraocular silicone oil tamponade. MethodsFrom February 2012 to February 2013, traditional nursing method or posture nursing by specially-assigned person and psychological nursing was carried out respectively for 140 patients who had undergone vitrectomy and intraocular silicone oil tamponade. Adverse effects and retina reattachment effect were compared between the two nursing methods. ResultsAdverse effects after the surgery were significantly fewer in the experimental group than in the control group (P<0.05). The number of patients with retina reattachment in the experimental group was significantly higher than that in the control group (P<0.05). ConclusionPosture nursing by specially-assigned person and psychological nursing reduce postoperative adverse consequences significantly, and achieve the expected operative effect.