非同轴光照明显微镜下巩膜扣带术  

Scleral buckling under microscope with non-coaxial optical illumination

作　　者：张怀强[1] 李玉涛[1] 景晓彬[1] 王怡兰[1] 刘淑伟[1] 

机构地区：[1]唐山市眼科医院,河北唐山063000

出　　处：《中国实用眼科杂志》2010年第9期1036-1037,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨非同轴光照明下显微镜巩膜扣带术的可行性及效果。方法回顾分析了137例（137只眼）孔源性视网膜脱离患者，在显微镜下采用非同轴光照明进行巩膜扣带术，手术后随访6～13个月。结果130只眼手术全程均在显微镜下完成，手术过程顺利，7只眼术中改用倒像镜进行手术。视网膜一次性完全复位123只眼。4只眼再次采用外加压后复位；3只眼因术后严重PVR接受玻璃体手术。12只眼手术后视网膜下片状出血，2个月内均吸收。手术后3个月视力提高73只眼；不变40只眼；下降17只眼。结论非同轴光照明下显微镜巩膜扣带术具有手术创伤小，术野清晰，手术操作简便等特点，在临床上具有实用价值。Objective To discuss the feasibility and effects of scleral buckling （SC） under microscope with non-coaxial optical illumination. Methods Retrospected and analyzed 137 cases （137 eyes） with rhegmatogenous retinal detachment. The procedure of scleral buckling was performed with the operating microscope with non-coaxial optical illumination. All patients were followed up 6 to 13 months. Results Indirect ophthalmoscopy reselected for the dioptric media opacity was applied in the operation of 7 cases （7 eyes） underwent SC, the rest cases used microscope with non-coaxial optical illumination throughly underwent SC. Retinal was reattached in 123 of 130 eyes, retinal detachment recurred in 7 eyes, 4 eyes underwent SC again and the retinal was reattached, 3 eyes underwent PPV for the severe PVR after the first surgery. Subretinal hemorrhage occurred in 12 eyes and was absorbed in 2 months. The visual acuity was improved in 73 eyes, unchanged in 40 eyes and decreased in 17 eyes. Conclusions The benefit of scleral buckling under microscope with non-coaxial optical illumination includes minimally invasion, convenience, direct viewing. The method has great applied value in clinic.

关 键 词：非同轴光照明 显微镜 巩膜扣带术 视网膜脱离 

分 类 号：R774.12[医药卫生—眼科]