首选个体化巩膜扣带术治疗孔源性视网膜脱离的临床观察  

Clinical observation of primary individual scleral buckling for rhegmatogenous retinal detachment

作　　者：赵鲁新[1] 王哲[1] 潘洁[1] 于晓晖[1] 

机构地区：[1]中国山东省淄博市中心医院眼科,255036

出　　处：《国际眼科杂志》2009年第9期1769-1770,共2页International Eye Science

摘　　要：目的:探讨首选个体化巩膜扣带术治疗孔源性视网膜脱离的临床效果。方法:回顾分析92例95眼孔源性视网膜脱离伴增生性玻璃体视网膜病变C1级以下的病例,根据裂孔位置、数目、视网膜脱离的形态等首选放液或者不放液的巩膜扣带术,个别病例辅以玻璃体腔注气术。随访时间7～48(平均10.2)mo。结果:视网膜一次手术复位成功90眼(95%),视力由术前的4.03±0.42到术后的矫正视力4.58±0.33。结论:首选个体化巩膜扣带术治疗孔源性视网膜脱离能够用最小量的手术、最小的创伤,获得较高的视网膜复位率和较好的视功能。AIM：To explore the clinical results of primary individual scleral buckling for rhegmatogenous retinal detachment（RRD） . ·METHODS：Ninety-two patients（95 eyes） underwent buckling operation with drainage or non drainage of subretinal fluid（SRF） for RRD with proliferative vitreoretinopathy（PVR） less than C1 according to localization,number and form of breaks,and intravitreal gas injection were used by individual cases.Follow-up ranged from 7 to 48 months,mean 10.2 months. ·RESULTS：The retina was completely reattached in 90 eyes（95%） after primary surgery.The preoperative and postoperative visual acuity showed 4.03±0.42 and 4.58±0.33. ·CONCLUSION：Primary individual scleral buckling for RRD can gain higher rates of reattachment of retina and better visual function,however it only needs minimum surgery and trauma.

关 键 词：视网膜脱离 巩膜扣带术 孔源性 

分 类 号：R779.6[医药卫生—眼科]