青年性前部视网膜劈裂锯齿缘断离及视网膜脱离  

Juvenile anterior retinoschisis,retinal dialysis,and retinal detachment

作　　者：郭浩轶[1] 郭希让[1] 田清芬[1] 赵朝霞[1] 黄爱国[1] 

机构地区：[1]河南省眼科研究所,450003

出　　处：《中国实用眼科杂志》2003年第12期902-903,共2页Chinese Journal of Practical Ophthalmology

摘　　要：目的 :探讨青年性前部视网膜劈裂锯齿缘断离及视网膜脱离的临床特点、治疗及其预后。方法 :对青年性前部视网膜劈裂锯齿缘断离合并视网膜脱离患者 10例 2 0只眼进行常规检眼镜眼底及Goldmann三面镜联合巩膜压陷检查 ,根据不同情况进行激光光凝 ,或巩膜冷凝外加压手术治疗 ,并随访 1～ 5年。结果 :共 10例 ,年龄 17～ 3 2岁 ,8例为双眼患病 ,病变位于颞下 ,双侧对称。 11眼同时患有前部视网膜劈裂、锯齿缘断离及视网膜脱离 ,3眼患有前部视网膜劈裂及锯齿缘断离 ,1眼仅有前部视网膜劈裂 ,3眼仅有锯齿缘断离其中 2眼合并视网膜脱离。13眼合并视网膜脱离者采用巩膜冷凝外加压术 ,全部一次治愈 ,5眼行激光封闭锯齿缘断离及劈裂区。随访期间未见视网膜脱离 ,视力均有不同程度提高。结论 :青年性前部视网膜劈裂锯齿缘断离及视网膜脱离有典型的临床特点 ,尽早发现、适宜治疗 ,预后良好。Objective:To investigate the clinical characteristics,treatment and prognosis of the syndrome of juvenile anterior retinoschisis,retinal dialysis and retinal detachment. 10 cases of 20 eyes,17～32 years old,with juvenile anterior retinoschisis,retinal dialysis,and retinal detachment were inspected with ophthalmoscope, Goldmann three-mirror lens combined with scleral indentation.Based on clinical manifestations,the eyes were treated with photocoagulation or scleral cryo-coagulation combined with buckling,and followed for 1～5 years. Results:8 cases were involved in both eyes symmetrically located at inferior-temporal.Anterior retinoschisis,retinal dialysis and retinal detachment was concurrent in 11 eyes,3 eyes were with anterior retinoschisis,retinal dialysis,1 eye was with anterior retinoschisis,3 eyes were with retinal dialysis in which the retinal detachment was concurrent in 2 eyes.13 eyes along with retinal detachment were treated with scleral cryo-coagulation combined with buckling.All were cured in the first operation.5 eyes were treated with photocoagulation to enclose the area of retinoschisis and retinal dialysis.Retinal detachment was not found during the following time,and the vision acuity was improved at various degrees. Conclusions:The juvenile anterior retinoschisis,retinal dialysis and retinal detachment have typical clinical characteristics.A better outcome will be obtained if it can be found as early as possible and treated with proper methods.

关 键 词：青年 视网膜劈裂 锯齿缘断离 视网膜脱离 激光光凝术 巩膜冷凝术 巩膜外加压术 

分 类 号：R774.12[医药卫生—眼科] R779.63[医药卫生—临床医学]