期刊文献+

自闭式巩膜隧道切口用于玻璃体切除术的研究

Efficacy and safety of self-sealing sclerotomies for sutureless pars plana vitrectomy.
下载PDF
导出
摘要 目的 探讨自闭式巩膜隧道切口用于经睫状体平坦部玻璃体切除术的有效性和安全性。方法 经睫状体平坦部玻璃体切除术 3 9例 ,行自闭式巩膜隧道切口 78个。结果 玻璃体切除完毕 ,巩膜切口能自闭不需要缝合的有 61个(78 .2 1%) ,需要缝合的 17个 (2 1 .79%)。巩膜隧道式切口在器械进出切口时能防止眼内灌注液外流 ,避免眼球塌陷 ,不必反复插入和拔出巩膜塞。结论 自闭式的巩膜切口简单易行 ,能缩短手术时间 ,避免术中退出器械和拔除灌注头时的低眼压。减少和切口有关的并发症。 Objective To determine the efficacy and safety of self-sealing pars plana sclerotomies for vitrectomy. Methods There were 78 self-sealing sclerotomies performed in 39 patients undergoing pars plana vitrectomy. Results In the 78 sclerotomies , 61 (78.21%) did not require suturing while 17 (21.79 %) were closed with one 6-0 absorbable suture. The scleral tunnel incisions ensured minimal loss of intraocular fluids during instrument excange and scleral plugs were not required to avoid ocular hypotony during scleral indentation.Conclusion Sutureless sclerotomies were simple to perform, saved operative time, and reduced the risk of peroperative hypotony following removal of instruments or the infusion cannula.The technique reduced suture-related problem, and allowed more rapid rehabilitaion.
机构地区 武警总医院眼科
出处 《眼外伤职业眼病杂志》 北大核心 2005年第3期172-174,共3页 Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词 玻璃体切除术 巩膜隧道切口 vitrectomy self-sealing scleral tunnel incision
  • 相关文献

参考文献8

  • 1Machemer R,Buettner H, Norton EWD,et al. Vitrectomy :a pars plana approach[J].Tr Am Acad Ophthalmol Otolaryngol,1971,75(4):813-820.
  • 2Cheng JC. Sutureless pars plana vitrectomy through self-sealing sclerotomies [J]. Arch Ophthalmol, 1996,114 (10): 1273-1275.
  • 3Cassoux N, Mashour B, Caputo G, et al. Comparative analysis of topographic abnormalities induced by sclerotomies sutures in optic indications of vitrectomy[J]. Invest Ophthal Visual Science, 1999,36(4):S531-534.
  • 4Rabman R, Rosen P, Riddel C, et al. Self-sealing sclerotomies for sutureless pars plana vitrectomy [J]. Ophthalmic Surg Lasers, 2000, 31 (6): 462-466.
  • 5Kwok AJL,Tham CCY, Lam DSC ,et al. Modified sutureless pars plana vitrectomy[J]. Am J Ophthalmology, 1999,127(6):731-733.
  • 6Miller KM, Glasgow BJ. Bacterial endophthalmitis following suturelesscataract surgery [J]. Arch Ophthalmology, 1993, 111 (3): 377-379.
  • 7Fujii GY, de Juan E, Humayun MS, et al. Initial Experience Using the transconjunctival sutureless vitrectomy sysytem for vitreoretinal surgery [J].Ophthalmology, 2002,109(10): 1814-1820.
  • 8Pieramici DJ, Fujii G. Vitreoretinal surgery enters near era? Less surgical trauma and more rapid recovery mark today's retinaprocedures[J]. Review of Ophthalmology, 2003,2(10): 15-5.

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部