摘要
目的探讨合并脉络膜脱离的孔源性视网膜脱离患者的手术治疗方法。方法收集2002年1月至2004年6月治疗的125例(125眼)合并脉络膜脱离的孔源性视网膜脱离患者的临床资料,随访6至35个月,平均(23.4±10.2)月,分析手术方法与疗效的关系。结果本组患者巩膜扣带术的复位率为82.8%(24/29),再次手术率为27.6%(8/29);玻璃体切除术的复位率为94.8%(90/96),再次手术率38.5%(37/96)。125例最终视网膜解剖复位率为95.2%(119/125)。结论玻璃体切除术是治疗合并脉络膜脱离的孔源性视网膜脱离的有效方法。对脉络膜脱离程度较轻,PVRB、PVRC1级患者也可行巩膜扣带术。
Objective To evaluate the role and the results of the surgical management of rhegmatogenous retinal detachment （RRD） combined with spontaneous pre-operative choroidal detachment （CHD）. Methods One hundred and twentyfive eyes of 125 patients were studied retrospectively from Jan, 2002 to Jun, 2004. The clinical data, surgical management and follow-up （six months to thirtyfive months） records were analyzed. Results At mean follow-up of 23.4±10.2 months, the scleral buckling produced an anatomical success rate of 24/29 （82.8%）; but 8/29 （27.6%） required a further procedure to achieve retinal reattachment. The vitrectomy produced an anatomical success rate of 90/96 （94.8%）; but 37/96 （38.5%） required a further procedure, The total final anatomical success rate was 119/125 （95.2%）. Conclusions Pars plana vitrectomy is an effective technique for managing RRD combined with CHD. In eyes with proliferatvie vitreoretinapathy （PVR） B. PVR C1 and light CHD, scleral buckling can be choosed.
出处
《中国实用眼科杂志》
CSCD
北大核心
2006年第1期22-24,共3页
Chinese Journal of Practical Ophthalmology
