玻璃体切除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 rhegrnatogenous retinal detachment combined with choroidal detachment

作　　者：曾爱萍[1] 曾水清[1] 程扬[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：《中国实用眼科杂志》2007年第5期530-532,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的研究玻璃体切除对合并脉络膜脱离的孔源性视网膜脱离的治疗作用。方法对连续治疗的12例合并有脉络膜脱离的孔源性视网膜脱离患眼,进行玻璃体切除联合长效气体或硅油填充治疗,所有病人术前术后均用激素治疗,对视网膜的复位率进行评价。结果平均随访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 vitrcctomy in eyes with combined rhegmatogenous retinal detachment （RRD） and choroidal detachment iCHD）. Methods Twelve consecutive patients were studied. Pars plana vitrcctomy with either gas or silicone oil tamponade were performed. All patients were treated with corticosteroids before surgery, and systemic corticosteroids were tapered after surgery. Retinal rcattachment 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 rcoperaOon, 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：R774.12[医药卫生—眼科]