吊顶灯辅助照明技术在巩膜扣带术治疗孔源性视网膜脱离中的应用进展  

Advances in the application of chandelier illumination system in scleral buckling for rhegmatogenous retinal detachment

作　　者：刘晶劼 刘勃实 李筱荣 LIU Jingjie;LIU Boshi;LI Xiaorong(Tianjin Key Laboratory of Retinal Functions and Disease,Tianjin Branch of National Clinical Research Center for Ocular Disease,Eye Institute and School of Optometry,Tianjin Medical University Eye Hospital,Tianjin 300384,China)

机构地区：[1]天津医科大学眼科医院、眼视光学院、眼科研究所,国家眼耳鼻喉疾病临床医学研究中心天津市分中心,天津市视网膜功能与疾病重点实验室,300384

出　　处：《眼科新进展》2023年第10期814-818,共5页Recent Advances in Ophthalmology

基　　金：国家自然科学基金面上项目(编号:82171085)。

摘　　要：随着玻璃体切割术技术的进步,越来越多的医生倾向于选择玻璃体切割术治疗孔源性视网膜脱离(RRD)。但是对于年轻的、视网膜裂孔存在于下方或周边的患者,巩膜扣带术仍是最佳选择。吊顶灯技术最初应用于复杂的玻璃体切割术中,在广泛照明下,玻璃体及视网膜病变情况清晰可见,同时吊顶灯对玻璃体干扰较小。目前,许多国内外眼底病医生开始尝试在吊顶灯辅助照明下进行巩膜扣带术治疗RRD。由于其可以在直视下进行放液、冷冻及裂孔查找与定位,术后视网膜复位率较高,并且眼内感染及切口渗漏等并发症非常少见。因此,吊顶灯辅助照明技术让眼底病外科医生重燃对巩膜扣带术的兴趣,避免玻璃体切割术在RRD中的过度应用。With the advancement of vitrectomy,more and more doctors tend to choose vitrectomy for rhegmatogenous retinal detachment(RRD).But for young patients with inferior or peripheral retinal breaks,scleral buckling remains the best option.The chandelier illumination system was originally used in complex vitrectomy.Under the wide\|range lighting,the vitreous and retinopathy conditions are clearly visible,and the chandelier illumination system interferes less with the vitreous body.At present,many doctors at home and abroad have adopted scleral buckling to treat RRD with the assistance of the chandelier illumination system.Because the operations of drainage,cryocoagulation,break search and location can be performed under direct vision,the postoperative retinal reattachment rate is higher,and complications such as intraocular infection and incision leakage are less.Therefore,chandelier illumination has renewed fundus disease surgeons’interest in scleral buckling,avoiding the overuse of vitrectomy in RRD.

关 键 词：孔源性视网膜脱离 吊顶灯 巩膜扣带术 

分 类 号：R779.62[医药卫生—眼科]