视网膜脱离合并脉络膜脱离的手术治疗  

Vitreoretinal surgery for retinal detachment with choroid detachment

作　　者：郭娟 董应丽[2] 郭希让[2] 

机构地区：[1]郑州铁路中心医院眼科,河南省郑州市450052 [2]河南省眼科研究所,450003

出　　处：《眼科新进展》2001年第3期193-194,共2页Recent Advances in Ophthalmology

摘　　要：目的　探讨视网膜脱离合并脉络膜脱离的手术方法、效果及失败原因。方法　回顾性分析 31例 31眼玻璃体视网膜手术(VR手术 ) ,全部眼有脉络膜脱离和增殖性玻璃体视网膜病变(PVR) ,采用玻璃体切割及视网膜前膜剥离 ,眼内惰性气体或硅油填充。结果　 31例患者视网膜全部复位者 2 2例 (70 .9% ) ,部分复位 5例 (16 .1% ) ,未复位 4例 (12 .9% )。 2 5眼视力有增进 ,5眼无变化 ,1眼下降。手术失败的主要原因可能与严重的前部PVR有关。结论　伴有脉络膜脱离的视网膜脱离患者采用 VR手术 ,可提高其手术成功率。Objective To probe into the operative methods, effects and reasons of failure for retinal detachment with choroid detachment.Methods Thirty one cases (31 eyes) with choroid detachment and proliferative vitreous retinopathy (PVR) were given vitreoretinal surgery, stripping of pre membrane and injection of inert gas or silicone oil into vitreous body. Results The retina was totally reattached in 22 cases (22 eyes), partly reattached in 5 cases (5 eyes),unattached in 4 cases (4 eyes),which was accounted for 70 9%,16.1% and 12.9% in 31 cases (31 eyes) respectively. Visual acuity improved in 25 eyes and no change in 5 eyes and decreased in 1 eye. The main cause of operation failure was possibly related to the severe anterior PVR. Conclusion Vitreoretinal surgery can improve the successful rate of retinal detachment with choroid detachment.

关 键 词：视网膜脱离 脉络膜脱离 玻璃体视网膜手术 并发症 

分 类 号：R774.13[医药卫生—眼科] R773.4[医药卫生—临床医学]