医源性脉络膜裂孔的预后分析  

Clinical observation and analysis on the prognosis ofiatrogenic choroid hole

作　　者：傅妍[1] 赵秉水[1] 郑曰忠[1] 

机构地区：[1]天津医科大学眼科临床学院 天津市眼科医院,天津300020

出　　处：《中国实用眼科杂志》2009年第10期1193-1195,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的 观察玻璃体切割手术中出现医源性脉络膜裂孔的处理及其预后情况.方法 11例（11只眼）患者在行玻璃体切割手术中发生医源性脉络膜裂孔,随即行眼内硅油填充.其中全层脉络膜裂孔患者10例,有3例患者在术中行巩膜冷凝和外加压封闭,有7例未予处理;板层脉络膜裂孔患者1例,在术中末予处理.结果 1例板层脉络膜裂孔患者在术后2d形成全层裂孔,当即行巩膜冷凝和外加压手术,术后裂孔封闭.所有行巩膜扣带术的患者脉络膜裂孔愈合良好,末见复发.4例患者术后3～6个月取出眼内硅油,术中未处理脉络膜裂孔的7例患者未行硅油取出.结论 巩膜扣带术封闭脉络膜裂孔效果良好可靠,可行硅油取出;术中未处理脉络膜裂孔的患者为保存患眼视力可暂不取出硅油.Objective To observe whether silicone oil can be removed late from eyes with iatrogenic choroid hole caused by vitrectomy. Methods Eleven patients （ 11 eyes） occurred iatrogenic choroid hole during the process of vitectomy, and all the 1 lcases were silicone oil eyes, in which 7 cases with full layer choroid hole were left untreated during operation, 3 cases with full layer choroid hole were performed scleral cryotherapy and outside pressurized operation to close the hole, 1 case with lamella hole was left untreated during operation. Results One case with lamella hole developed into full layer hole in 2-3 days after operation, and then was performed scleral cryotherapy and outside pressurized operation at the same day, the hole was closed after operation.All the cases after the operation of scleral buckling were closed up well and no cases recurred.The silicone oil was removed in 3-6 months postoperatively in 4 patients, but oils in the eyes with hole in 7 untreated patients during the operation were not been removed. Conclusions The operation of scleral buckling was effective and reliable to close choroid hole, the silicone oil could be removed.But the removal operation could not be performed temporarily on the untreated cases with choroid hole.

关 键 词：脉络膜裂孔 巩膜扣带术 硅油取出 脉络膜 

分 类 号：R774.5[医药卫生—眼科] R739.7[医药卫生—临床医学]