玻璃体切除术中巩膜切口闭合方法的研究进展  

Research progress of scleral incision closure method in vitrectomy

作　　者：谢春瑶 黄雄高 Xie Chunyao;Huang Xionggao(Department of Ophthalmology,the First Affiliated Hospital of Hainan Medical University,Haikou 570100,Hainan Province,China)

机构地区：[1]海南医科大学第一附属医院眼科,中国海南省海口市570100

出　　处：《国际眼科杂志》2025年第3期390-394,共5页International Eye Science

基　　金：国家自然科学基金(No.82160199)。

摘　　要：玻璃体切除术是最常用的眼科手术之一,被认为是眼科手术的一次重大革命。其作用是切割患者混浊的玻璃体或解除玻璃体视网膜的牵拉,恢复透明的屈光间质和促进视网膜复位,目的是通过治疗玻璃体视网膜疾病,以提高患者的视觉功能。目前玻璃体切除术中巩膜切口闭合的常用方法为可吸收线缝合,约1 mo左右可吸收,易导致异物感、特发性巩膜炎、感染等并发症,文章综述了各类玻璃体切除术中巩膜切口闭合新方法的优缺点,通过研究下述新方法在视力、视敏度、眼压、结膜下出血以及并发症(如脉络膜积液/出血、眼内炎等)的不同,旨在进一步证实新巩膜切口闭合方法的有效性及安全性,更好地应用到临床,以便于临床医生能以最小的损伤达到最佳的手术效果。The vitrectomy,one of the most popular procedures in ophthalmology,is regarded as a significant advancement in the field.Its functions include restoring transparent refractive media,encouraging retinal reattachment,cutting the patient’s turbid vitreous,or removing the traction of the vitreous retina.The goal of treating vitreoretinal illnesses is to enhance the patient’s visual function.Nowadays,absorbable sutures,which can be absorbed for around 1 mo,are used frequently to close scleral incisions during vitreous surgery.It can easily lead to infection,idiopathic scleritis,foreign body sensation,and other side effects.The benefits and drawbacks of several novel techniques for closing scleral incisions during vitrectomy are discussed in this research.Through an examination of the aforementioned novel techniques in visual acuity,intraocular pressure,subconjunctival hemorrhage,and complications(endophthalmitis,choroidal effusion/hemorrhage,etc.),the goal is to bolster the efficacy and safety of the recently developed scleral incision closure technique and enhance its application in clinical settings,enabling physicians to optimize surgical outcomes while minimizing collateral damage.

关 键 词：经结膜无缝线玻璃体切除术 微切口玻璃体切开术 漏性巩膜切开术 无缝合线 切口闭合 

分 类 号：R779.6[医药卫生—眼科]