新型光学装置下无光导-双手法玻璃体切割术的临床应用  

Clinical applying of fiberoptic-free bimanual vitrectomy with new system

作　　者：梅海峰[1] 邢怡桥[1] 艾明[1] 杨安怀[1] 

机构地区：[1]武汉大学人民医院眼科,武汉430060

出　　处：《中国实用眼科杂志》2005年第7期685-686,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的观察新型光学装置下无光导-双手法玻璃体切割术的临床效果。方法对32例复杂性玻璃体视网膜疾病患者借助新型光学装置行无光导-双手法玻璃体切割术,剥除视网膜前膜、视网膜下膜或内界膜,复位视网膜。观察手术效果及并发症。结果所有病例均顺利完成手术,术后32眼中30眼视力提高两行以上,2眼视力不变。术中剥膜及止血未见明显并发症,术后1眼视网膜脱离复发,未发现光毒性反应。结论对于复杂性玻璃体视网膜疾病,新型光学装置下无光导-双手法玻璃体切割术是一种安全、有效、易于完成的方法。Objective To investigate the effect of fiberoptic-free bimanual vitrectomy with new system. Methods Fiberoptic-free bimanual vitrctomy with new system was performed for complicated vitreus or/and retinal diseases in 32 cases.During surgery,bimanual technique was used to peel preretinal membranes,sub-retinal membranes,or inner limited membranes.We observed the effect and complications of surgery and evaluate the valuability of the new system. Results Vitrectomy was performed smoothly for all cases.An improvement in visual acuity of 2 or more lines was found in 30 of 32 eyes,the other two eyes didn′t change.Recurrence of retinal detachment was found in 1 eye,there was no evidence of phototoxicity. Conclusions New system for fiberoptic-free bimanual vitreous surgery is the most effective,safe method and easy to operate,especially for the casees with complicated vitreous or/and retinal diseases.

关 键 词：玻璃体切割术 双手法 装置 光学 临床应用 玻璃体视网膜疾病 眼视网膜脱离 视网膜前膜 视网膜下膜 光毒性反应 临床效果 疾病患者 手术效果 复杂性 并发症 眼视力 内界膜 未发现 术后 

分 类 号：R779.6[医药卫生—眼科] R692.09[医药卫生—临床医学]