内照明辅助巩膜外垫压术治疗陈旧性视网膜脱离的临床疗效  

Clinical effect of endoillumination assisted external scleral buckling surgery for long-standing retinal detachment

作　　者：王渝龙 谯雁彬 詹天顺 易虹 WANG Yulong;QIAO Yanbin;ZHAN Tianshun;YI Hong(Department of Ophthalmology,Chonqing Municipal People′s Hospital,Chongqing 400013,China)

机构地区：[1]重庆市人民医院眼科,400013

出　　处：《重庆医学》2021年第7期1162-1165,共4页Chongqing medicine

摘　　要：目的观察内照明辅助巩膜外垫压术治疗陈旧性视网膜脱离的临床疗效。方法回顾性分析该院使用内照明辅助巩膜外垫压术治疗的36例(36眼)陈旧性视网膜脱离患者临床资料。观察患者视网膜复位情况、手术前后最佳矫正视力变化、手术相关并发症发生情况。结果32例(89%)一次手术解剖复位,4例(11%)二次手术解剖复位。术前最小分辨角对数视力(1.07±0.65)与术后(0.78±0.59)比较,差异有统计学意义(t=5.861,P=0.016),其中视力提高29例(80%),无提高6例(17%),下降1例(3%)。3例术中玻璃体丢失,8例存在光纤相关的玻璃体搅动。5例(14%)术后眼内压升高,1例(3%)黄斑前膜形成。结论内照明辅助巩膜外垫压术治疗陈旧性视网膜脱离安全、有效,且操作简单。Objective To observe the clinical curative effect of endoillumination assisted scleral buckling surgery for the treatment of long-standing retinal detachment.Methods The clinical data in 36 cases(36 eyes)of long-standing retinal detachment treated by endoillumination assisted external scleral buckling surgery in this hospital were retrospectively analyzed.The retinal reattachment,best corrected visual acuity(BCVA)before and after operation and occurrence situation of operation related complications were observed.Results The once operation anatomical reduction was achieved in 32 cases(89%),4 cases(11%)achieved the anatomical reduction by twice operations.The comparison between preoperative logarithm of the minimum angle of resolution(logMAR)and postoperative logMAR had statistical difference(1.07±0.65 vs.0.78±0.59,t=5.861,P=0.016),in which the vision had increase in 29 cases(80%),no increase in 6 cases(17%)and decreased in 1 case(3%).There were 3 cases of vitreous body loss,8 cases of optical fiber associated vitreous agitation.Postoperative complications included 5 cases(14%)of intra-ocular pressure increase and 1 case(3%)of epimacular membrane formation.Conclusion The endoillumination assisted external scleral buckling surgery is safe and effective for the treatment of long-standing retinal detachment,moreover the operation is simple.

关 键 词：视网膜脱离 内照明 巩膜外垫压术 治疗结果 

分 类 号：R774.1[医药卫生—眼科]