玻璃体切除术治疗合并脉络膜脱离的孔源性视网膜脱离  

Pars plana vitrectomy for the treatment of rhegmatogenous retinal detachment combined with choroidal detachment

作　　者：曾爱萍[1] 曾水清[1] 程扬[1] 李晓青[1] 

机构地区：[1]华中科技大学同济医学院附属协和医院眼科,武汉430022

出　　处：《临床眼科杂志》2007年第1期31-33,共3页Journal of Clinical Ophthalmology

摘　　要：目的探讨玻璃体切除术治疗合并脉络膜脱离的孔源性视网膜脱离的临床疗效。方法对连续治疗的12例(12只眼)合并有脉络膜脱离的孔源性视网膜脱离眼,进行玻璃体切除联合长效气体或硅油填充治疗,所有患者术前、术后均用激素治疗,对视网膜的复位率进行评价。结果术后平均随访10.42个月。单次手术视网膜解剖复位率为91.67%(11/12),再次手术后视网膜解剖复位率为100%。结论玻璃体切除术是治疗合并脉络膜脱离的孔源性视网膜脱离的有效方法。Objective To study the treatment role of vitrectomy in eyes with combined rhegmatogenous retinal detaclunent （RRD） and choroidal detachment （CHD）. Methods Twelve of 12 consecutive patients were studied. Pars plana vitrectomy with either gas or silicone tamponade were performed. All patients were treated with corticesteroids before surgery, and systemic corticesteroids were tapered after surgery. Retinal reattachment rate was measured. Results At mean follow-up of 10.42 months. Single-operation anatomic success was 91.67% （11/12） among these patients. After re- operation, anatomic success was 100%. Conclusion The results suggest that pars plana vitrectomy is an effective technique for managing RRD combined with CHD.

关 键 词：孔源性视网膜脱离 脉络膜脱离 玻璃体切除术 

分 类 号：R779.6[医药卫生—眼科]