黄斑裂孔视网膜脱离治疗新方法  

NEW APPROACH FOR MANAGMENT OF RETINAL DETACHMENT WITH MACULAR HOLE

作　　者：张少冲[1] 高汝龙[1] 刘泉[1] 唐仕波[1] 

机构地区：[1]中山医科大学中山眼科中心

出　　处：《眼科学报》1990年第3期91-94,共4页Eye Science

摘　　要：本文报告应用三种非传统手术方法治疗黄斑裂孔视网膜脱离17例17眼。对单纯黄斑裂孔性视网膜脱离,有明显玻璃体牵引的10眼,采用玻璃体切割、眼外排液及眼内注气术:单纯黄斑裂孔网脱,无玻璃体牵引的2眼,采用眼外排液、眼内注气术:对周边裂孔伴黄斑裂孔性网脱的5眼,采用重点封闭周边裂孔的治疗原则。经过3～16个月的随防,17眼中,15眼视网膜获得解剖学复位(88.2%),10眼术后视力提高,4眼保持不变。术后视力在0.06以上者共9眼,认为这些方法与传统的黄斑区扣带术相比,具有操作容易、对黄斑区破坏性小,并发症少,视力提高满意等优点,不失为黄斑裂孔视网膜脱离治疗的好方法。Three kinds of unconventional methods were used to treat retinal detachment with macular hole in (17 eyes) A combination of vitrectomy,transscleral drainage and intraocular air injection was used for the eases of retinal detachment with macular hole and evident vitreous traction.Transscleral clrainage combined with air injection wes used for those of macular hole without vitreous traction.For the cases of combined peripheral and macular holes,we treated only peripheral holes,ignoring the macular hole.After a 3-16 months follow-up.15 out of the 17 eyes obtained retinal anatomic reattachment(88.2%),10 eyes had their vision improved,4 eyes remained unchanged.9 eyes obtained a visual acuity of better than 0.05 postoperatively.Compared with the conventional method of macular buckling,these prosedures have the advantages of less damage to macula.less complications and more satisfactory visual improvement.

关 键 词：黄斑裂孔 视网膜脱落 

分 类 号：R774.505[医药卫生—眼科] R774.130.5[医药卫生—临床医学]