广视野系统联合手术显微镜直视下冷凝锯齿缘断离性视网膜脱离  

Clinical study on cryotherapy for treatment of retinal detachment due to dialysis of ora serrata under surgical microscope with wide field inversion lens system

作　　者：崔凌[1] 李敏[1] 赵昕[1] 钟海彬[1] 

机构地区：[1]广西壮族自治区人民医院眼科,南宁530021

出　　处：《中华眼外伤职业眼病杂志》2012年第4期274-276,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：广西科学基金资助项目（桂科回0639014）

摘　　要：目的探讨应用广视野系统联合手术显微镜直视下冷凝治疗锯齿缘断离性视网膜脱离的价值。方法对锯齿缘断离性视网膜脱离24例（24眼）借助广视野系统进行玻璃体切除联合手术显微镜直视下巩膜外冷凝视网膜裂孔，对手术疗效、冷凝手术时间、手术并发症等进行随访和评价。结果术后随访6—38个月，一次手术治愈率91．7％（22／24），另2眼二次手术获得解剖复位，盲目率从术前75％（18／24）下降到术后6个月的33％（8／24）；手术冷凝时间（5．0±1．2）min；无严重并发症发生。结论广视野观察系统联合手术显微镜直视下冷凝治疗锯齿缘断离性视网膜脱离具有手术方式简化，冷凝时间缩短，术后视力恢复良好，一次手术治愈率高及并发症少。Objective To evaluate the value of cryotherapy for treatment of retinal detachment due to ora serrata dialysis under surgical microscope with wide field inversion lens system. Methods The wide field inversion lens system with cryoretinopexy under microscope were applied in 24 cases （24 eyes） with ora serrata dialysis. The operative effect, time of cryotherapy and complication were analyzed. Results Followup was from 6 to 38 months , 22 of 24 cases （91.7%） achieved retinal reattachment after the initial surgery, 2 of 24 cases achieved retinal reattachment after the twice surgery. The hindness rate reduced from 75% to 33% （X2 =7. 954, P 〈0.01）. The operative time of cryotherapy was 5.0 ±1.2 minutes. There was no severe complication. Conclusion The wide field inversion lens with cryoretinopexy under microscope applied in ora serrata dialysis that can simplify operational procedure, shorten surgical time and decrease complication.

关 键 词：广角视野观察系统 锯齿缘断离 玻璃体切除 

分 类 号：R779.6[医药卫生—眼科]