不放液巩膜扣带术联合玻璃体腔注气治疗孔源性视网膜脱离的分析  

Clinical analysis of non-drainage of subretinal fluid scleral air injection on treating rhegmatogenous retinal detachment

作　　者：顾永昊[1] 柯根杰[1] 王林[1] 周恩亮[1] 何勤[1] 

机构地区：[1]安徽医科大学附属省立医院眼科,合肥230001

出　　处：《中国实用眼科杂志》2012年第11期1339-1341,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的探讨不放液巩膜扣带术联合玻璃体腔注气治疗孔源性视网膜脱离的效果。方法回顾性分析65例（65只眼）孔源性视网膜脱离行不放液巩膜扣带术联合玻璃体腔消毒空气注射患者的临床资料，分析视网膜复位率、视网膜下液吸收情况、术后视力、主要并发症等。随访时间2周至1年。结果视网膜复位63例，手术成功率96．92％，49例视网膜下液在3天内吸收，占77．78％，术后视力进步者50例，占79．36％，主要并发症为术后高眼压和玻璃体混浊。结论在掌握好手术适应证的情况下，不放液巩膜扣带术联合玻璃体腔注气是治疗孔源性视网膜脱离的有效方法，患者术后恢复快，手术并发症较少。Objective To analyze the clinical effect of non-drainage of subretinal fluid scleral buckling combined with vitreous air. injection on treating rhegmatogenous retinal detachment. Methods The clinical data of 65 cases （65 eyes） of rhegmatogenous retinal detachment treated by non-drainage of subretinal fluid scleral buckling combined with vitreous air injection were retrospectively reviewed. The retinal reattachment rate, time of subretinal fluid absorption, postoperative visual acuity and complications were analyzed. The follow-up time was from 2 weeks to 1 year. Results The rate of retinal reattachment was 96.92% （63/65）. Subretinal fluid was absorbed within 3 days in 49 cases （77.78%）. Fifty cases had improved postoperative visual acuity, which accounted for 79.36%. Main complications were high intraocular pressure and vitreous opacity. Conclusions It is effective for treating rhegmatogenous retinal detachment by non-drainage of subretinal fluid scleral buckling combined with vitreous air injection. The patients can get fast recovery and less complication.

关 键 词：巩膜扣带术 孔源性视网膜脱离 玻璃体腔注气 

分 类 号：R774.12[医药卫生—眼科]