玻璃体切除联合C_3F_8治疗黄斑裂孔性视网膜脱离  

Vitrectomy Combined with C_3F_8 Injection in the Treatment for Retinal Detachment Caused by Macular Hole

作　　者：周斌兵[1] 臧晶[1] 高汝龙[2] 张少冲[2] 何利蓉[1] 

机构地区：[1]广州铁路中心医院眼科,510080 [2]中山大学中山眼科中心

出　　处：《中国眼耳鼻喉科杂志》2003年第5期327-329,共3页Chinese Journal of Ophthalmology and Otorhinolaryngology

摘　　要：目的探讨玻璃体切除联合C_3F_8注入治疗黄斑裂孔视网膜脱离的临床疗效及失败原因。方法采用经睫状体平坦部玻璃体切除联合C_3F_8注入治疗黄斑裂孔性视网膜脱离18例18眼。结果 16眼获得解剖复位,黄斑裂孔封闭,14眼视力不同程度提高,成功率达88.9%;2眼于1月后出现视网膜再脱离。结论玻璃体切除联合C_3F_8注入手术是治疗黄斑裂孔视网膜脱离简单有效的方法,可大大提高初次手术复位率。术中切除干净玻璃体增殖条索、松解展平黄斑皱褶是手术成功的关键。Purpose To discuss the clinical effect and the failing causes of vitrectomy with C3F8 injection in the treatment for retinal detachment caused by macular hole. Methods 18 cases (18 eyes) of retinal detachment caused by macular hole were treated with vitrectomy and injection of C3F8. Results Retinal reattachment and closure of macular holes were obtained in 16 eyes, and the vision recovered considerable in 14 eyes. The success rate was 88.9%, but retinal detachment recurred in 2 eyes after 1 month. Conclusion Vitrectomy combined with C3F8 injection is a simple and effective treatment for retinal detachment caused by macular hole, which can increase the reattaching rate of a single operation. Removal of proliferative vitreous and disentanglement of macular pucker are imperative in the vitrectomy with C3F8 injection.

关 键 词：玻璃体切除 C3F8 治疗 黄斑裂孔性视网膜脱离 

分 类 号：R774.1[医药卫生—眼科]