渗出性视网膜脱离的手术治疗现状及进展  

Current knowledge and advances in surgical treatment of exudative retinal detachment

作　　者：杜宣[1] 邱庆华[1] 

机构地区：[1]上海市第一人民医院眼科,200083

出　　处：《中华眼外伤职业眼病杂志》2015年第1期69-74,共6页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：渗出性视网膜脱离传统的治疗方法主要针对原发病进行内科治疗，对于病变早期或较局限、较轻微的视网膜脱离有一定疗效，但针对严重、广泛、复杂性包括病变晚期的视网膜脱离，单纯的内科治疗或者联合激光光凝、冷凝治疗已无法达到视网膜的解剖复位，避免视功能破坏。这时候就需要采取玻璃体手术等手术方法进行治疗，创造条件促使视网膜神经上皮与色素上皮贴近，解除增殖的玻璃体条带对视网膜的牵引以及清除视网膜下液体。近十几年来，由于眼科微创显微手术，特别是玻璃体外科技术的飞速发展及玻璃体填充剂的应用，使视网膜脱离手术的治疗取得很大进展。The traditional treatment methods for exudative retinal detachment mainly focused on the medical treatment for primary disease, it has some effects on early or limited lesions , but for serious, extensive and complicated retinal detachment , medical treatment in combination with laser photocoagulation and cryotherapy have been unable to accomplish retinal attachment which can＇ t avoid visual function damage. At this time, we need treatments more advanced like vitreous surgery and other surgical methods which forces the retinal pigment epithelium and the neural epithelium close to each other and relieve the proliferation of vitreous traction on the retina and clear subretinal fluid. Over the last decade, due to the minimally invasive ophthalmic microsurgery, especially the rapid development of vitreous surgical techniques and vitreous tamponade applications, the treatment of retinal detachment surgery has made great progress.

关 键 词：视网膜脱离 渗出性 手术 玻璃体切除术 

分 类 号：R779.6[医药卫生—眼科]