视网膜脱离巩膜扣带裂孔周围光凝术的效果观察  

Observation on the efficacy of scleral buckling and laser photocoagulation around the tear for retinal detachment

作　　者：肖潇[1] 杜兆江 杨格强[1] 张雯[1] 王晟宇 Xiao Xiao;Du Zhaojiang;Yang Geqiang;Zhang Wen;Wang Shengyu(Department of Ophthalmology,Xi＇an Center Hospital,Xi＇an 710003,China)

机构地区：[1]西安市中心医院眼科,西安710003

出　　处：《中华眼外伤职业眼病杂志》2018年第9期683-685,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的观察巩膜扣带术裂孔周围光凝术治疗孔源性视网膜脱离的效果。 方法回顾性分析孔源性视网膜脱离41例（41眼）的临床资料。手术方法为在间接检眼镜直视下顶压定位视网膜裂孔。使用放射状硅胶海绵垫压视网膜裂孔区，不做环扎术。术后视网膜裂孔周围行激光光凝。随访3～18个月。 结果初次手术后视网膜完全复位37眼（90.24%），失败4眼（9.76%），这4眼中术后3 d内再次行巩膜扣带术或玻璃体手术3眼复位，最终手术复位成功率为97.57%。 结论大多数孔源性视网膜脱离，可以由巩膜扣带术及术后裂孔周围光凝术而治愈。ObjectiveTo observe the efficacy of scleral buckling and laser photocoagulation around the tear for the treatment of rhegmatogeous retinal detachment. MethodsThe clinical data of 41 eyes of 41 cases of rhegmatogenous retinal detachment were analyzed retrospectively. The retinal tear were located under the indirect ophthalmoscope. A silicone sponge cylinder was radiatively sutured to compress the tear according to the size and shape of the hole. The radial silicone sponge pad was only limited in the retinal tear without scleral buckling. All cases received laser photocoagulation around the tear after operation. The follow-up time was 3 - 18 months after operation. ResultsThe retina reattached in 37 eyes（90.24%） after primary operation. The retina failed to be attached in 4 eyes after primary operation. Four cases underwent re-scleral buckling or vitreous surgery 3 days postoperatively, and retinal reattachment was achieved permanently in 3 eyes. The finally success rate of retinal reattachment was 97.57%. ConclusionMost case of rhegmatogenous retinal detachment could be successfully treated with scleral buckling and laser photocoagulation around the tear.

关 键 词：视网膜脱离  孔源性 扣带术  巩膜 光凝  裂孔周围 

分 类 号：R779.63[医药卫生—眼科]