You Position: Home > Paper
The clinical observation for retinotomies in the treatment of complicated retinal detachment
( views:284, downloads:56 )
- Author:
- No author available
- Journal Title:
- CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
- Issue:
- 2
- DOI:
- 10.3760/j.issn:1005-1015.2001.02.001
- Key Word:
- 视网膜脱离/外科手术;玻璃体切除术;玻璃体视网膜病变,增生性/外科手术
Abstract： 目的观察复杂性视网膜脱离眼术中应用视网膜切开技术的临床疗效.方法 23例伴有严重增生性玻璃体视网膜病变(proliferative vitreoretinopathy, PVR)的视网膜脱离眼,经常规玻璃体手术不能使视网膜复位,选择视网膜缩短僵硬处切开松解,或掀起切开的视网膜清除其下增生膜,再予眼内激光光凝、硅油填充.视网膜切开范围30～360°平均为132°.结果术毕23例均取得视网膜解剖复位,15例于术后3.0～11.0个月(平均5.6个月)取出硅油.所有病例随访6个月以上,17例视网膜完全复位(4例未取硅油),占74.0%,视力0.02及其以上者11例,占48.0%,2例取硅油后复发视网膜脱离;未取硅油者中3例下方视网膜增生伴浅脱离,1例因白内障而眼底情况不明.主要并发症为眼内增生(26.0%)和低眼压(13.0%).结论复杂性视网膜脱离玻璃体手术中应用视网膜切开技术能取得一定的疗效.
- [1]W A, Alturki,G A, Peyman,C L, Paris,etc.Posterior relaxing retinotomies: analysis of anatomic and visual results.[J].1992,23.
- [2]R, Machemer,B W, McCuen,E, de Juan.Relaxing retinotomies and retinectomies.[J].1986,102(1).
- [3]BOVEY ETIENNE H.,DE ANCOS EVA,GONVERS MICHEL.RETINOTOMIES OF 180\u00b0 OR MORE[J].1995.
- [4]Jay L. Federman,Ralph C. Eagle Jr..Extensive Peripheral Retinectomy Combined with Posterior 360° Retinotomy for Retinal Reattachment in Advanced Proliferative Vitreoretinopathy Cases[J].1990,97(10).