过氟化碳液体在晶体及玻璃体视网膜手术中的应用  

The management of dislocated crystalline lens and vitreoretinal surgery using perfluorocarbon liquid.

作　　者：陈松[1] 赵秉水[1] 郭荣珍[1] 张金华[1] 李燕[1] 吴淑荣[1] 洪巧兰[1] 刘培[1] 

机构地区：[1]天津市眼科医院

出　　处：《临床眼科杂志》1999年第2期75-78,共4页Journal of Clinical Ophthalmology

摘　　要：目的探讨过氟化碳液体（ｐｅｒｆｌｕｏｒｏｃａｒｂｏｎｌｉｑｕｉｄ，ＰＦＣＬ）在晶体及玻璃体视网膜手术（ｖｉｔｒｅ－ｏｒｅｔｉｎａｌｓｕｒｇｅｒｙ，ＶＲ术）中的应用价值。方法应用ＰＦＣＬ（法国产过氟萘烷，ｐｅｒｆｌｕｏｒｏｄｅｃｌｉｎ，纯度１００％，Ｃ１０Ｆ１８）治疗２例（２只眼）晶体脱位于玻璃体内，采用玻璃体切除，ＰＦＣＬ漂浮晶体于前房，再行常规的白内障摘除术。在ＶＲ术中应用ＰＦＣＬ治疗３７例（３７只眼）复杂性视网膜脱离（网脱）、２例（２只眼）外伤性网脱和１例增殖性糖尿病视网膜病变（ＰＤＲ），采用玻璃体切除、膜剥离、ＰＦＣＬ使用、气液交换、眼内激光、惰性气体（ＳＦ６、Ｃ３Ｆ８）及硅油眼内填充。结果晶体脱位２例，顺利取出，术后视力均较术前明显提高。ＶＲ术４０例，使用ＰＦＣＬ一次，近期（出院时）观察有效３５例（３５只眼，８７．５％），失败５例（５只眼，１２．５％）。视力与术前比较提高者２４眼（６４．９％），不变９眼（２４．３％），降低４眼（１７．１４％）。２７例随访时间为３～１１月（平均６．５月），有效２５只眼（９２．６％），视力≥０．０５，占４８％。结论ＰＦＣＬ可安全有效的治疗晶体脱位于玻璃体内，提高了ＶＲ术?Objective To evaluate the clinical value of perfluorocarbon liquid(PFCL) application in dislocated crystalline lens and vitreoretinal(VR) surgery.Methods We used PFCL to treat twe cases of dislocated crystalline lens,and used PFCL to treat thirty-seven cases of complicated retinal detachments and two cases of traumatic retinal detachment and one case of proliferative diabetic retinopathy in VR surgery.Results We used PFCL to facilitate the safe removal of two hard dislocated crystalline lens and their vision improved.The VR surgery was effective in 35 eyes(87.5%) on discharge from the hospital.The followed up period is more than 3 months in 27 cases,averaging followed-up for 6.5 months,to find the opreative results stable in 25 cases (92.6%) and the final visual acuity ranged from 0.05 to 0.5 in 48% of the patients that attained retinal reattachment.Conclusion PFCL is a safe and valuable in treatment of dislocated crystalline lens,and is helpful to VR surgery in the improve the success rate of the retinal detachment and the visual acuity outcomes.

关 键 词：过氟化碳液体 晶体脱位 视网膜脱离 玻璃体视膜 

分 类 号：R779.6[医药卫生—眼科]