视网膜脱离巩膜外路显微手术的临床探讨  

The Clinical Evaluate External Route Surgery of Retinal Detachment under Surgical Microscope

作　　者：梁伟亮[1] 关卫文[1] 余超明[1] 胡小玲[1] 

机构地区：[1]开平市中心医院眼科,开平529300

出　　处：《眼科学报》2006年第4期218-220,共3页Eye Science

摘　　要：目的:探讨手术显微镜下行视网膜脱离外路手术的方法及治疗效果。方法:对21例(21眼)孔源性视网膜脱离患者,行视网膜脱离外路手术,术中对裂孔的定位,放视网膜下液,及巩膜外顶压冷凝均在手术显微镜下进行。6例同时行环扎术。术后随访3～9个月。结果:手术显微镜直视下患眼视网膜冷凝反应均清晰可见。轻度屈光间质混浊不影响眼底病变观察,无严重的手术并发症。21眼中视网膜复位20例,再次手术复位1例,视力均有不同程度提高,视力≥0.3者15例占71.42%。结论:视网膜脱离显微外路手术具有方便、可靠、安全、快捷等优点,提高手术成功率。Purpose： To evaluate the methods and the outcome of the retinal detachment surgery under surgical microscope. Methods： Twenty-one consecutive cases were enrolled in this study. All received location the retinal breaks, the drainage of the rhegmatogenous retinal detachment retinal detachment surgery undermicroseope. of subretinal fluid with diathermy acupuncture an dretinalcry opexy through sclera were performed under surgical microscope. Buckling and orcireling were performed in six cases. All the patients were followed up three to nine months. Results： The reaction of retinal cryotherapy was seen clearly under the microscope. and the observation of cryotherapy and the location of retinal breaks were not affected by mild media opacities. No severe complication appeared. Twenty cases got complete retinal reattachment. One eye got reattachment after an additional scleral buckling. The visual acuity were improved in all cases, The visual acuity was better than 0.3 in 15 eyes （71.42%）. Conclusions： It appeared to be simple, convenient, easy observable to perform retinal reattachment surgery under microscope. Eye Science 2006;22：218-220.

关 键 词：视网膜脱离 手术显微镜 定位 冷凝 

分 类 号：R779.62[医药卫生—眼科]