人工晶状体眼视网膜脱离外路显微手术效果观察  

Clinical observation of external-route microsurgery for pseudophakic retinal detachment

作　　者：林晓峰[1] 刘文[2] 黄素英[2] 李虹霓[1] 

机构地区：[1]中山大学附属汕头医院眼科,汕头515031 [2]中山大学中山眼科中心眼科学国家重点实验室,广州510060

出　　处：《中国实用眼科杂志》2012年第5期575-578,共4页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨人工晶状体（IOL）眼视网膜脱离外路显微手术的临床效果。方法对21例（22只眼）IOL眼视网膜脱离，先预置环扎带，然后在手术显微镜直视下完成环扎带及硅压块缝线、排视网膜下液、视网膜冷凝、硅压、检查裂孔位置、扎紧环扎带和眼内注气等操作，定期观察手术效果。结果一次手术视网膜复位18只眼，再次手术视网膜复位3只眼，最终视网膜复位率95．5％。术后视力提高18只眼，不变2只眼，下降2只眼，最好矫正视力≥0．3者9只眼，无一例发生IOL移位及严重并发症。结论IOL眼视网膜脱离外路显微手术适用于瞳孔区和晶状体囊膜相对透明区／〉6mm、PVR≤C1患者，具有操作简单、方便、安全、效果良好等优点。Objective To evaluate the clinical efficacy of external-route microsurgery for pseudophakic retinal defachrnent. Methods In 21 patients （22eyes） with pseudophakic retinal detachment, the buckling bands were preplaced, then under surgical microscope the suture of buckling and cir- cling were placed, and drainage of subretinal fluid, retinal cryotherapy, buckling, examination of locat- ing the holes, circling and intraocular injection of gas were performed. And the effects were observed during the follow-up. Results Retinal reattachment was achieved in 18 eyes after the prima- ry surgery and in 3 eyes after the secondary surgery, with the final rate of reattaehment was 95.5%. The postoperative visual acuity improved in 18 eyes, equaled in 2 eyes, and decreased in 2 eyes. The best-corrected visual acuity Was ≥0.3 in 9 eyes. No intraocular lens shifted and serious complication occurred after surgery. Conclusions The external-route microsurgery for pseudophakic retinal detachment fits for the patients whose pupil and relative brightzone of capsule ≥6mm and PVR≤ C1, and it is simple, convenient, safe, reliable, and effective.

关 键 词：人工晶状体眼视网膜脱离 显微手术 巩膜加压术 

分 类 号：R774.12[医药卫生—眼科]