玻璃体切割联合硅油填充治疗先天性脉络膜缺损并发视网膜脱离  

Vitrectomy combined with silicone oil tamponade for congenital choroidal coloboma complicated retinal detachment

作　　者：王淑青[1] 牟莉[2] 

机构地区：[1]徐州医学院研究生学院,江苏徐州221004 [2]徐州医学院附属医院眼科,江苏徐州221002

出　　处：《徐州医学院学报》2014年第8期548-550,共3页Acta Academiae Medicinae Xuzhou

摘　　要：目的 探讨先天性脉络膜缺损并发视网膜脱离的临床特征及玻璃体切割联合硅油填充术治疗的有效性.方法 回顾性分析10例（10只眼）先天性脉络膜缺损合并视网膜脱离患者的临床资料.所有患者均行标准三通道闭合式玻璃体切割手术,术中寻找视网膜裂孔、脉络膜缺损区及玻璃体情况,并于缺损区边缘有色素区行激光光凝联合玻璃体腔硅油填充.结果 10只眼视网膜裂孔均位于脉络膜缺损区,脉络膜缺损区包含视盘者6只眼,缺损区上缘邻近视盘者4只眼,合并黄斑缺损者1只眼.10只眼均无玻璃体后脱离.随访观察3 ～ 20个月（平均12个月）,10只眼视网膜均获解剖复位.7只眼术后视力有不同程度改善.结论 玻璃体切割、缺损缘视网膜激光光凝联合硅油内填充术是治疗先天性脉络膜缺损合并视网膜脱离的有效方法.Objective To evaluate the clinical characters and the effects of pars plana vitrectomy for congenital cho- roidal coloboma complicated with retinal detachment. Methods The clinical data of l0 cases （ 10 eyes） of congenital choroidal coloboma complicated with retinal detatchment were restrospectively analyzed. Standard three - ports closed vit- rectomy was performed on all the patients. During the operation, retinal tears or holes and choroidal coloboma area were located and vitreous body were observed. Laser photocoagulation of the pigmented regions at the edge of choroidal colobo- ma area was performed, combined with silicone oil tamponade. Results Retinal tears or holes located in the retinal de- fect area in all the 10 eyes. Optic disc located in the defect area in 6 eyes. Optic disc located above the defect in 4 eyes. Macular defect was complicated in 1 eye. Posterior vitreous detachment was not observed in all the 10 eyes. 3 - 20 months of follow - up （ averaged 12 months） showed that the retina was reattached anatomically after operation in all the 10 eyes and the visual acuity was improved to a certain level in 7 eyes. Conclusion Vitrectomy and laser photocoagula- tion of the pigmented regions at the edge of choroidal coloboma area combined with silicone oil tamponade is an effective method for the treatment of congenital choroidal coloboma complicated with retinal detachment.

关 键 词：先天性脉络膜缺损 视网膜脱离 玻璃体切割术 

分 类 号：R773.4[医药卫生—眼科] R774.12[医药卫生—临床医学]