摘要
目的观察充气性视网膜固定术治疗原发性孔源性视网膜脱离的效果。方法回顾性分析2009年5月至2011年5月期间利用充气性视网膜固定术治疗原发性孔源性视网膜脱离病例27例（27只眼），分析视网膜复位情况、视力恢复、PVR变化及并发症发生情况。结果一次性手术复位率为85．2％，术前视网膜脱离范围为2个象限组一次性手术复位率显著低于脱离范围1个象限组，术前存在玻璃体后脱离组一次性手术复位率显著高于无后脱离组；马蹄形裂孔和圆形裂孔组问、单个裂孔和多个裂孔组间、黄斑区脱离与未脱离组间、PVRA级与B级组间的一次性手术复位率差异无统计学意义。4例患者因出现新的视网膜裂孔接受了巩膜扣带手术后视网膜复位。术后末次随访最佳矫正视力较术前明显提高，未观察到严重并发症发生。结论充气性视网膜固定术对于单个或多个裂孔、裂孔〈1PD、位置在上方八个钟点位以内、PVR≤C级的原发性孔源性视网膜脱离是安全有效的治疗方法。
Objective To observe the outcome of Pneumatic Retinopexy in treating primary rhematogenous retinal detachment. Method Twenty-seven cases of primary rhematogenous retinal detachment were treated by Pneumatic Retinopexy during May 2009 to May 2011. The retinal attachment rate, improvement of visual acuity, PVR and complications were analyzed. Results The retinal attachment rate by single surgery was 85.2%. In terms of retinal detachment range, the retinal attachment rate by single surgery in two quadrants group was insignificantly lower than in one quadrant group. In terms of posterior vitreous detachment, the retinal attachment rate by single surgery was higher in PVD positive group than in PVD negative group. The retinal attachment rate by single surgery had no statistically significant difference between groups horse-shoe tear and round hole, groups single tear and multiple tears, groups macular-on and macular-off, groups PVR A and PVR B. Scleral buckling was performed and retina was attached in four cases because of new retinal breaks. The best corrected visual acuity after Pneumatic Retinopexy was significantly improved. No severe surgical complication was observed. Conclusions Pneumatic Retinopexy is safe and effective for selected primary rhematogenous retinal detachment. The selection criteria includes single or multipie retinal breaks, breaks smaller than 1 PD, breaks in superior 8 clock hours and PVR ≤grade C.
出处
《中国实用眼科杂志》
CSCD
北大核心
2013年第2期172-174,共3页
Chinese Journal of Practical Ophthalmology
基金
云南省教育厅科学研究基金（2011C079）
