巩膜扣带术对屈光状态的影响  

The effect of scleral buckling on refractive status

作　　者：刘楠[1] 王爽[1] 赵彭彭 刘杨[1] 赵劲松[1] 

机构地区：[1]吉林大学第二医院眼科,长春130000

出　　处：《新医学》2017年第10期683-687,共5页Journal of New Medicine

基　　金：吉林省科技发展计划项目(20160101094JC);吉林省卫生计生委2016年卫生服务能力提升项目(3D5172173429)

摘　　要：视网膜脱离是一种常见的致盲性眼病,以原发性孔源性视网膜脱离最为常见,通常需要手术治疗,手术包括巩膜扣带术和玻璃体切除手术两种方式,虽然玻璃体手术日渐成为一种趋势,但目前巩膜扣带术在临床仍然应用广泛,尤其对于单纯孔源性视网膜脱离,巩膜扣带术仍可作为首选。巩膜扣带术包括巩膜外加压术、巩膜环扎术以及巩膜环扎联合外加压术等术式,巩膜扣带术具有操作简单、创伤小、比较经济等优点,但常常引起术后屈光状态的变化,如眼轴延长、前房变浅、晶状体增厚均可引起近视,眼轴缩短可导致远视,角膜形态变化引起散光。该文对巩膜扣带术后的屈光改变以及原因进行综述。Retinal detachment is acommon eye disease that leads to blindness. Primary rhegmatoge-nous retinal detachment is the most common form of retinal detachment. Surgical apprbuckling surgery and vitrectomy are frequently employed. Although vitrectomy is becoming widespread , scleral buckling surgery is still widely performed in clinical settings , which is the primary treatment of rretinal detachment. Scleral buckling surgery consists of segmental scleral buckling surgery , scleral encirclingsurgery and scleral encircling combined with segmental buckling surgery- Scleral buckling surgery is economicaland convenient to operate , and induces small trauma. However , it constantly leads to postoperative chanthe refraction , axial extension,shallow anterior chamber and thickening of the lens , which can cause myopia.Axial shortening may lead to hyperopia. Astigmatism is mainly caused by corneal morphological changes. Inthis article , the incidence and cause of refractive changes after scleral buckling surgery were summarized.

关 键 词：视网膜脱离 环扎 外加压 屈光 

分 类 号：R779.6[医药卫生—眼科]