玻璃体视网膜手术治疗急性视网膜坏死的疗效分析  

Clinical observation for the treatment of acute retnal necrosis by vitrectony

作　　者：王淑莉[1] 伊琼[1] 李中凯[1] 施孝琴[1] 郭雪琴[1] 刘辉[1] 

机构地区：[1]漯河市中心医院眼科,河南漯河462000

出　　处：《医学信息（西安上半月）》2005年第4期363-365,共3页Medical Information

摘　　要：目的探讨玻璃体视网膜手术治疗急性视网膜坏死的疗效。方法对12例14眼急性视网膜坏死患者进行玻璃体切割、视网膜光凝、硅油充填术,其中9眼联合巩膜外环扎术,1眼联合白内障超声乳化吸出术,3眼晶状体切除。结果随访6个月至5年,平均18.3个月,3只术前有视网膜脱离眼取出硅油后视网膜脱离复发,其中1眼再次填充硅油后视网膜复位,视力光感,另外2眼因患者放弃再次手术,眼球萎缩。余均保持有用视力,其中:0.3者1眼,0.2者2眼,0.1者4眼,0.02～0.08者3眼,FC/30cm1眼。结论玻璃体视网膜手术是治疗急性视网膜坏死的有效方法。Objective To investigate the effectiveness of vitreoretinal surgery in the management of actue retinal necrosis (ARN). Methods 12 cases (14eyes) of ARN were treated by vitrectomy,laser photocoagulation ,tamponade with silicone oil. 9 eyes of 14 eyes were combined with scleral surgery,1eye combined with phacoemusification , 3 eyes with lens excision . Results The follow up was 6 months to 5 years .3 eyes with retinal detachment before operation had recurrent retinal detachment after removal of silicone oil ,in which 1 eye had light by second tamponade with silicone oil. 11 eyes had visual acuty, in which 1 had FC/30cm visual acuty, 3 had 0.02-0.08 visual acuty, 4 had 0.1 visual acuty, 2 had 0.2 visual acuty, 1 had 0.3 visual acuty. Conclusions Vitreoretinal surgery is an effective method to ARN.

关 键 词：玻璃体视网膜 手术治疗 急性视网膜坏死 视网膜光凝 硅油充填术 

分 类 号：R774.1[医药卫生—眼科] R779.6[医药卫生—临床医学]