巩膜扣带术治疗青年人陈旧性视网膜脱离的疗效分析  

Clinical efficacy of scleral buckle surgery for long-standing retinal detachment in youths

作　　者：丁宇华[1] 叶辉 袁志兰[1] 于焱[1] 

机构地区：[1]南京医科大学第一附属医院眼科,210029

出　　处：《眼科》2011年第6期417-419,共3页Ophthalmology in China

摘　　要：目的观察巩膜扣带术治疗青年人陈旧性视网膜脱离的疗效。设计回顾性病例系列。研究对象2007年1月至2011年3月间在南京医科大学第一附属医院眼科行巩膜扣带术治疗的陈旧性视网膜脱离患者60例（64眼）,年龄在15~30岁（20.6±4.3岁）。方法对所有研究对象在手术后第1、2周、1、3月各随访一次,记录视力、眼压,用裂隙灯显微镜结合前置镜观察视网膜的复位情况,并于术后第3月时记录最佳矫正视力。术后3个月时最佳矫正视力较术前提高≥2行者认为视力提高。单次手术视网膜完全复位超过3个月以上者认为手术成功。主要指标视网膜复位例数,术后最佳矫正视力。结果 64眼中单次手术成功者61眼,成功率达95.3%。单次巩膜扣带术后,67.2%（43/64眼）的患眼视力提高。结论青年人陈旧性视网膜脱离行巩膜扣带术治疗的手术成功率较高,多数患者术后可获得有用视力。Objective To find out the anatomical and visual outcome of scleral buckle surgery in young patients with long-standing retinal detachment.Design Retrospective case series.Participants The clinical data of 60 young patients（64 eyes） with long-standing retinal detachment treated by scleral buckle surgery in the First Affiliated Hospital of Nanjing Medical University from January 2007 to March 2011 were retrospectively reviewed.Methods Postoperative visual acuity,intraocular pressure and retinal status were recorded to see the anatomical success rate at 1,2 weeks,1,3 months after scleral buckle surgery.Best corrected visual acuity（BCVA） at 3 months follow-up was noted.The meaningful improvement was definited if the postoperative visual acuity was improved more than or equnl to 2 lines.The definition of successful operation is that the retina had reattached more than 3 months after the first operation.Main Outcome Measures Retinal reattachment rates,postoperative BCVA.Results 61 eyes（95.3%） had retinal attachment by 3 months duration,3 eyes（4.7%） had undergone repeat surgery within 3-month duration（pars plana vitrectomy）.Best corrected visual acuity（BCVA） at 3 months was improved in 43 eyes（67.2%）.Conclusion Conventional scleral buckling can be used in majority of young patients with long-standing retinal detachment.Proper treatment should be given in time.

关 键 词：陈旧性视网膜脱离/外科学 巩膜扣带术 青年人 

分 类 号：R779.6[医药卫生—眼科]