玻璃体切割联合下方巩膜外垫压治疗特殊视网膜脱离  

Vitrectomy combined with inferior scleral buckling for a special kind of retinal detachment

作　　者：李恒[1] 刘志刚[1] 米雪[2] 

机构地区：[1]中国四川省遂宁市中心医院眼科,629000 [2]中国四川省遂宁市中心医院消化内镜中心,629000

出　　处：《国际眼科杂志》2014年第8期1519-1521,共3页International Eye Science

摘　　要：目的：评估玻璃体切割联合下方巩膜外垫压治疗一类特殊视网膜脱离的效果。方法：对具有以下特点：（1）病程大于6mo;（2）裂孔位于5∶00～7∶00的视网膜周边部或者在多发视网膜裂孔中有开放裂孔位于5∶00～7∶00的视网膜周边部;（3）视网膜脱离范围超过270度、并且伴有脱离区视网膜条索样增殖的19眼特殊类型视网膜脱离,采取玻璃体切割联合下方巩膜外垫压治疗,观察视网膜解剖复位和视功能恢复情况。结果：视网膜解剖复位19眼;最佳矫正视力均有不同程度提高,其中0.01～0.1有5眼;0.12～0.3有9眼;≥0.4有5眼。结论：玻璃体切割联合下方巩膜外垫压是治疗病程大于6mo、视网膜裂孔位于5∶00～7∶00的视网膜周边部或者在多发视网膜裂孔中有开放裂孔位于5∶00～7∶00的视网膜周边部、视网膜脱离范围超过270度、并且伴有脱离区视网膜条索样增殖这类特殊视网膜脱离的有效方法。AIM： To evaluate the efficiency of vitrectomy combined with inferior scleral buckling for a special kind of retinal detachment.METHODS： Nineteen eyes of special retinal detachment had following features： 1） the course was more than6mo; 2） there were at least one hole located in the 5∶ 00-7∶ 00 of the marginal retina; 3） the detachment range of retina more than 270 degrees and retinal proliferation in retinal detachment. The 19 eyes w ho received vitrectom y com bined w ith inferior scleral buckling,retinal anatom ic reattachm ent and visual function recovery w as observed. RESULTS： Among these 19 eyes, all eyes retinal anatomic reattachment and best corrected visual acuity（BCVA） was improved in various degrees. The BCVA was0. 01- 0. 1 in 5 eyes,0. 12- 0. 3 in 9 eyes,and ≥0. 4 in 5eyes.CONCLUSION： It is an effective method to vitrectomy combined with inferior scleral buckling for the special kind of retinal detachment which has following features： 1） the course was more than 6mo; 2） there were at least onehole located in the 5∶ 00- 7∶ 00 of the marginal retina; 3）the detachment range of retina more than 270 degrees and retinal proliferation of cable in retinal detachment.

关 键 词：玻璃体切割 巩膜外垫压 视网膜脱离 特殊类型 

分 类 号：R779.6[医药卫生—眼科]