全氟丙烷球内注射联合直视下冷凝治疗上方巨大裂孔性视网膜脱离的疗效观察  

Effect of perflutren injection and cryosurgery under binocular indirect ophthalmoscope in treatment of rhegmatogenous retinal detachment with giant retinal tears

作　　者：高自清[1] 方丽[1] 

机构地区：[1]蚌埠医学院第一附属医院眼科,安徽蚌埠233004

出　　处：《蚌埠医学院学报》2010年第2期134-136,共3页Journal of Bengbu Medical College

摘　　要：目的:探讨全氟丙烷(perflutren,C3F8)球内注射联合经巩膜直视下冷凝治疗上方巨大裂孔性视网膜脱离(retinal detachment,RD)的疗效。方法:对23例(24眼)上方巨大裂孔性RD患者,在双目间接检眼镜下冷凝裂孔并进行外加压,玻璃体腔注入C3F8,并根据RD的具体情况进行环扎、放液。结果:21眼一次性手术后视网膜复位,2眼二次手术后复位成功,另1眼行玻璃体切割术。术后视力较术前明显提高(P<0.05)。结论:C3F8球内注射联合经巩膜直视下冷凝治疗上方巨大裂孔性RD,创伤小,效果好,值得推广应用。Objective：To observe the eflect of perflutren（ C3 F8 ） injection and cryosurgery using binocular indirect ophthahnoscope in treatment of rhegmatogenous retinal detachment（RRD） with giant retinal tears. Methods： Twenty-three patients （24 eyes） with RRD received cryosurgery under the binocular indirect ophthahnoscope, and C3F8 was injected into the vitreous cavity; scleral compressing, scleral buckling and subretinal fluid releasing were performed accordingly. Results：Twenty-one eyes had retinal reattachment after one operation, two eyes had retinal reattachment ,after twice operation, and one eye was performed vitrectomy. Conclusions：C3 Fs injection in the vitreous cavity combined with cryosurgery using binocular indirect ophthalmoscope are safe and effective for treatment of rhegmatogenous retinal detachment with giant retinal tears.

关 键 词：视网膜脱离 全氟丙烷 视网膜裂孔 冷凝 

分 类 号：R774.13[医药卫生—眼科]