未找到裂孔的视网膜脱离手术治疗探讨  

A STUDY ON TREATMENT OF RETINAL DETACHMENT WITH UNSEEN RETINAL BREAKS

作　　者：刘泉[1] 高汝龙[1] 汪玉川[1] 何小杰 

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99-101,57,共4页Eye Science

摘　　要：本文报告手术治疗未找到裂孔的视网膜脱离64例66眼,结果获得解剖学复位53眼(80.3%),好转4眼(6%),有效率86.3%。根据视网膜脱离形态、范围、格子样变性区的位置,无晶体眼,眼外伤及增殖性玻璃体视网膜病变等综合情况,采取巩膜扣带术、环扎术、玻璃体切割术等手术方式。讨论了这些手术的方法及适应证,提出对未找到裂孔的视网膜脱离病例应积极手术治疗。64 cases (66 eyes) of retinal detachment in which no breaks can be found were treated with pars plana vitrectomy,scleral buckling or encircling procedures.The selection of operation depended on the shape and size of retinal detachment,the position of peripheral retinal lattice degeneration,phakia or aphakia,traumatic situation and the appearance of proliferative vitreoretinopathy.The results showed that the detached retina was successfully reattached in 53 eyes (80.3%),4 eyes were improved (6%),only 9 eyes failed(16.7%).The technic of operation and application are discussed.We consider that suitable active surgical treatment for this kind of cases is encouraging.

关 键 词：视网膜脱落 眼外科手术 

分 类 号：R779.6[医药卫生—眼科]