黄斑裂孔性视网膜脱离手术治疗效果分析  

Analysis of surgical results in treating retinal detachment with a macular hole

作　　者：黄慧君[1] 晏世刚[1] 凌萍[1] 罗书科[1] 

机构地区：[1]广东省佛山市第二人民医院眼科,528000

出　　处：《眼科新进展》2003年第1期41-42,共2页Recent Advances in Ophthalmology

摘　　要：目的　探讨不同手术方法治疗黄斑裂孔性视网膜脱离术后复发率及术后视功能的差异。方法　对黄斑裂孔性视网膜脱离 2 2例 2 2眼采用 2种不同的手术方法治疗 ,一组采用单纯玻璃体腔内注气 (C3F8)术 ,另一组采用巩膜外环扎或巩膜外垫压联合巩膜外冷凝、玻璃体切割并玻璃体腔内注气术。结果　单纯玻璃体腔内注气术较巩膜外环扎或巩膜外垫压联合巩膜外冷凝 ,联合玻璃体切割并玻璃体腔内注气术复发率高 ,二者术后视力恢复均不理想 ,未见明显差异。结论提高黄斑裂孔性视网膜脱离手术成功率 ,关键在于根据患者具体病情 ,选择适宜的手术方法 ,在达到视网膜解剖复位的同时 。Objective To study the recurrence rate and visual difference from two surgical techniques in treating retinal detachment with a macular hole.Methods Two surgical techniques were used for treating 22 patients(22 eyes) with retinal detachment with a macular hole.The C 3F 8 gas alone was injected into the vitreous cavity in one group of patients.The scleral encircling buckling or scleral matting combined with scleral freezing and vitrectomy,and C 3F 8 gas injected into the vitreous cavity in another groups.Results The recurrence rate of the surgical treatment in first group was higher than that in second group.Vision acuity following the surgical treatment was not satisfied and has no significant difference in both groups.Conclusion To raise the success rate of the surgical treatment in patients with retinal detachment with a macular hole,suitable surgical technique must be selected according to patients condition.We should not only gain reattach of the detached retina,but also a good vision function.

关 键 词：黄斑裂孔 视网膜脱离 手术 术后 视功能 复发率 

分 类 号：R774.5[医药卫生—眼科] R774.12[医药卫生—临床医学]