摘要
目的比较巩膜扣带术中联合气体填充固定与放视网膜下液治疗原发性孔源性视网膜脱离的临床效果。方法巩膜扣带术中裂孔定位良好但裂孔周围视网膜下液较多时联合气体填充固定或放视网膜下液治疗。结果38例38眼行巩膜扣带术,其中26眼术中联合行玻璃体腔C3F8气体填充治疗,术后23眼(88.5%)经1次手术后脱离的视网膜完全复位,12眼术中采用放视网膜下液治疗,术后11眼(91.7%)脱离的视网膜经1次手术完全复位。结论巩膜扣带术中可联合气体填充固定代替术中放视网膜下液。巩膜扣带术联合气体填充固定的主要并发症为术后新裂孔形成。
Objective To compare the efficacy of pneumatic retinopexy and subretinal drainage in the treatment of primary rhegmatogenous retinal detachment （RD） in scleral buckling procedure. Methods Pneumatic retinopexy or subretinal drainage was applied during the scleral buckling procedure when lots of subretinal fluid existed.Results Twenty-three of 26 eyes （88.5%） were successfully reattached by pneumatic retinopexy during scleral buckling procedure for the repair of primary retinal detachment.New hole formation was the major complication for the surgical failure. One eye was fixed by another buckling procedure and the other two were treated by vitrectomy. Eleven of 12 eyes （91.7%） with primary RD were successfully managed by scleral buckling procedure and subretinal fluid drainage. Subretinal hemorrhage occurred in one eye after subretinal drainage. rhegmatogenous Conclusion Pneumatic retinopexy can substitute subretinal drainage in the repair of primary retinal detachment when plenty of subretinal fluid exists.
出处
《第三军医大学学报》
CAS
CSCD
北大核心
2006年第13期1438-1439,共2页
Journal of Third Military Medical University
关键词
巩膜扣带术
气体填充固定术
视网膜下液
视网膜脱离
scleral buckling procedure
pneumatic retinopexy
subretinal fluid drainage
retinal detachment
