不放液的巩膜外垫压治疗孔源性视网膜脱离的疗效  

Clinical observation of scleral buckling with nondrainage of subretinal fluid in the treatment of rhegmatogenous retinal detachment

作　　者：张桂 李中凯 杨志强 刘军 

机构地区：[1]漯河医学高等专科学校第一附属医院眼科,中国河南省漯河市462000

出　　处：《国际眼科杂志》2017年第12期2331-2334,共4页International Eye Science

摘　　要：目的:探讨不放液的巩膜外垫压治疗孔源性视网膜脱离的临床疗效。方法:回顾性分析2012-01/2017-01我院收治的孔源性视网膜脱离患者111例113眼,所有纳入研究的病例均采用双目间接检眼镜下视网膜裂孔定位、巩膜外冷凝、巩膜外垫压的手术方法。术中98眼单纯巩膜外垫压,15眼术后玻璃体腔注射消毒空气,所有病例均行变性区及裂孔处巩膜外冷凝,结扎缝线前行前房穿刺放液。术后观察最终视网膜复位率、术后最佳矫正视力、眼压、并发症情况。结果:术后随访6mo。视网膜最终复位率97.4%;术后视力提高91眼(80.5%)。术后高眼压均能控制。术中发生并发症共7眼,术后并发症3眼。结论:不放液的巩膜外垫压术治疗孔源性视网膜脱离的并发症少,疗效肯定。AIM：To investigate the clinical effect of scleral buckling with nondrainage of subretinal fluid in the treatment of rhegmatogenous retinal detachment. METHODS： A total of 111 patients（113 eyes）with rhegmatogenous retinal detachment in our hospital from January 2012 to January 2017 were retrospectively reviewed. All the patients were identified as fulfilling the criteria of rhegmatogenous retinal detachment. Localization and scleral cryotherapy of retinal breaks with binocular indirect ophthalmoscopy in all eyes were performed during the operations. Simple scleral pressure were performed in 98 eyes. Intravitreal injection of sterile air were performed in 15 eyes. Scleral cryotherapy were performed in all cases with retinal degeneration and breaks. Anterior chamber puncture were performed before ligation suture. The final retinal reattachment rate, best corrected vision acuity, intraocular pressure and complications were observed.RESULTS： The mean follow-up period was 6mo after operation. The final retinal reattachment rate at 6mo was 97.4%. There were 91 eyes（80.5%）with improved visual acuity after operation. High intraocular pressure can be controlled after operation. Complications were occurred in 7 eyes in the operation, 3 eyes postoperatively.CONCLUSION： The surgery of scleral buckling with nondrainage of subretinal fluid have few complications and is effective.

关 键 词：孔源性视网膜脱离 巩膜外垫压 不放液 巩膜外冷凝 

分 类 号：R779.6[医药卫生—眼科]