人工晶体及无晶体眼巨大裂孔性视网膜脱离  

Giant rhegmatorgenons retinal detachment with intraocular lens and aphakic eye

作　　者：卢敏[1] 李德全[1] 邬永娟[1] 董景文[1] 

机构地区：[1]广东省高州市人民医院眼科,525200

出　　处：《中国临床实用医学》2009年第4期38-39,共2页China Clinical Practical Medicine

摘　　要：目的 探讨人工晶体及无晶体眼巨大裂孔性视网膜脱离的手术治疗。方法7例采用玻璃体切除术，术中使有过氟萘烷展平视网膜，眼内激光及眼外冷凝封闭视网膜裂孔，惰性气体或硅油于过氟萘烷交换。结果7例手术后出院时视网膜均复位。C3F8气体填充2例中1例气体吸收后局部视网膜脱离，二次16％C3F8填充，视网膜复位。硅油填充5例于术后6个月一10个月取出眼内硅油3例，其中1例视网膜再脱离，二次注入硅油。7例术后视力不同程度提高。结论玻璃体切除术及术中使用过氟萘烷、眼内激光、眼外冷凝封闭视网膜裂孔是治疗人工晶体眼及无晶体眼巨大裂孔性视网膜脱离的有效方法。Objective To discuss surgical management of giant rhegmatogenous retinal detachment with intraocular lens and aphakic eye. Methods 7cases were operated by pars plana vitrectomy combined with perfluorocarbon, preretinal, membrane, peeling, endophotocogulation, cryopexy, and intraocular air 16% C3 F8 in 2cases of or siliconeoil in 5cases temponade were used to flatten the retina. Results The retina reattached in 7 cases. 1 case of 16% C3F8 tamponade in 2 cases was not reattached. The visual acuity improvedin 7 cases postoperatively. Conclusion The vitrectomy combined with perfluorocarbon, preretinal membra-ne peeling, endophotocogulation, cryopexy and intraocular tamponade is one of the effective methods to treat the giant rhegmatogenous retinal detachment with intraocular lens and aphakic eye.

关 键 词：人工晶体眼 无晶体眼 巨大裂孔性视网膜脱离 

分 类 号：R779.66[医药卫生—眼科]