Perioperative nursing of inner limiting membrane peeling silicone oil plombage on curing yellow spot retinal detachment of high myopia

Abstract

Objective To discuss about the perioperative nursing method of inner limiting membrane peeling silicone oil plombage on curing yellow spot retinal detachment of high myopia. Methods Preoperative mental nursing, article preparation, intraoperative patient's condition monitoring, postoperative position, prevention and complication nursing were conducted to 60 cases of yellow spot retinal detachment of high myopia by applying inner limiting membrane peeling silicone oil plombage. Results After silicone oil was taken out, the retina of 55 patients(91.67%) was still in place.After silicone oil of 5 patients (8.33%) was taken out, there was retinal detachment, and reoperation was conducted to reset.6 months after operation, there were 15 cases(25.00%) that the vision was recovered to be ≥0.1, 14 cases(23.33%) recovered to be 0.05~0.09, 13 cases(21.67%)recovered to be 0.02~0.04 and 8 cases(13.33%)had index light sensation. Conclusions Give appropriate preoperative psychological nursing, and patients with sufficient preoperative preparation, intraoperative monitoring vital signs, precise surgery and postoperative observation, body position nursing care, prevention of complications, nursing is the guarantee of successful operation, it is also the key to promote the patient choosing. Key words: High myopia; Retinal detachment; Impending macular hole; Silicone oil tamponade; Perioperative nursing