关注玻璃体手术巩膜切口相关并发症的预防  

Prevention for occurrence of sclerotomy-related complications during vitrectomy

作　　者：刘宁朴[1] 樊文英[1] 徐军[1] 

机构地区：[1]首都医科大学附属北京同仁医院北京同仁眼科中心北京市眼科学与视觉科学重点实验室,100730

出　　处：《眼科》2009年第4期225-228,共4页Ophthalmology in China

摘　　要：经睫状体扁平部玻璃体手术是一种常用的玻璃体视网膜手术方法,这种手术技术的快速进展使许多潜在致盲性玻璃体视网膜疾病得到了有效治疗。由于手术器械和技巧的改善,玻璃体手术的并发症逐渐减少,但在临床上仍时有发生。例如,巩膜切口相关并发症可引起视网膜脱离和视力丧失,因而在临床上备受关注。本文回顾了常见的与巩膜切口相关的并发症,包括巩膜切口相关的视网膜裂孔和视网膜脱离、巩膜切口处纤维血管长入(FVI)以及玻璃体嵌顿等,并就其发生的危险因素和预防措施进行了讨论。Pars plana vitrectomy （PPV） is a common vitreoretinal surgical procedure. With its rapid advances many vitreoretinal diseases that have the potential to blind can now be treated. Although surgical complications are decreasing due to the improvement of surgical tools and techniques, these are not uncommon in our daily clinical practice. The sclerotomy-related complications, for example, are of great concern because they can result in retinal detachment and loss of vision. This article will review the common sclerotomy-related complications including the sclerotomy-related retinal breaks and detachment, fibrovascular ingrowth into the sclerotomy site, and vitreous incarceration. The risk factors and the practical measures to prevent these complications are also discussed. （Ophthalmol CHN, 2009, 18： 225-228）

关 键 词：玻璃体切割术/并发症 巩膜切口 述评 

分 类 号：R779.6[医药卫生—眼科]