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SF_6前房注射治疗大范围后弹力膜脱离 被引量:8

Sulfur hexafluoride gas in the repire of extensive Descemet's membrane detachment.
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摘要 目的 评价六氟化硫 (SF6)气体前房注射治疗大范围后弹力膜脱离的方法与效果。方法  12例 (12眼 )白内障术后大范围后弹力膜脱离患者 ,9例经常规方法治疗无效 ,3例分别于术后 2 3、38与 6 2天因角膜水肿就诊时发现脱离 ,遂于前房内注入 10 0 %SF6气体 0 1~ 0 15ml,密切观察眼前段及眼压变化。结果 SF6在前房内存留 7~ 9天 ,推压脱离的后弹力膜复位。角膜水肿于 1月内消失。无高眼压或其他并发症出现。视力恢复良好 (0 8~ 1 2 )。结论 SF6前房注射治疗大范围后弹力膜脱离是一种安全简便。 To evaluate the safety and efficacy of sulfur hexafluoride (SF 6) in the repire of extensive Descemet's membrane detachment. Methods 12 cases with extensive Descemet's membrane detachment after cataract extraction were observed. Nine of them were invalid to the general management, the other three were found Descemet's membrane detaching on the postoperative day 23,38 and 62 respectively for the severe cornea edema. They all were treated by intracameral injection of 100% SF 6 0.1~0.15 ml. Results SF 6 gas stayed in the anterior chamber for 7~9 d and pushed the Descemet's membrane to reattach. The cornea edema disappeared within 1 month. No high IOP and other complications occured. The visual acuties achived 0.8~1.2 when corneas were clear. Conclusions Intracameral injection of SF 6 is the safest and most effective technique for apposing a extensive Descemet's membrane detachment.
出处 《眼外伤职业眼病杂志》 北大核心 2001年第1期38-39,共2页 Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词 后弹力膜脱离 六氟化硫 前房注射 白内障 Sulfur hexafluoride(SF_6) Descemet's membrane Detachmet Injection, intracameral
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  • 1[1]Jaffe NS, Jaffe MS, Jaffe GF. Cataract surgery and its complications. Fifth edition, St Louis:The C. V. Mosby Company,1990,643
  • 2[2]Sparks GM. Descemetopexy: surgical reattachment of stripped Descemet's membrane. Arch Ophthalmology, 1967,78:31 ~ 34
  • 3[3]Zusman NB, Waring GO, Najarian LV, et al. Sulfur hexafluoride gas in the repair of intractable Descemet's membrane detachment. A. J. Ophthalmology,1987,104:660 ~ 662
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  • 6[6]Lee DA, Wilson MR, Yoshizumi MO, et al. The ocular effects of gases when in jected into the anterior chamber of rabbit eyes. Arch Ophthalmol 1991,109:571 ~ 575

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