扣带术后复发性网脱的玻切手术治疗体会  

Experience of Vitrectomy in the Treatment of Recurrent Retinal Detachment after Scleral Buckling Surgery

作　　者：杨昊一 刘兆强[2] 张晗 

机构地区：[1]山东大学齐鲁医学院,山东 济南 [2]山东省立医院眼科,山东 济南

出　　处：《临床医学进展》2023年第4期5827-5834,共8页Advances in Clinical Medicine

摘　　要：目的:探讨巩膜扣带术后出现复发性视网膜脱离行玻璃体切割手术治疗的指征及技巧。方法:通过巩膜扣带术后复发性视网膜脱离符合行玻璃体切割手术指征的4例代表性病例的临床资料,结合相关文献,对其进行总结。结果:4例代表性病例的手术指征分别为原扣带手术指征选择不恰当、扣带术中并发症、PVR形成、晚期再脱离。行玻璃体切除术后,视网膜均成功复位,视力均较前改善。结论:巩膜扣带术后复发性视网膜脱离按照手术指征行玻璃体切割手术可获得较高的手术成功率。手术的要点是采取彻底的基底部玻璃体切除以及完全的增殖膜剥除。Objective: To investigate the indications and techniques of vitrectomy for recurrent retinal de-tachment after scleral buckling surgery. Methods: The clinical data of 4 representative cases of re-current retinal detachment after scleral buckling operation conforming to the indications of vitrec-tomy were summarized by reviewing of related literatures. Results: The vitrectomy surgery indica-tions of 4 cases were “inappropriate candidate of the original buckling surgery”, “complications in buckling surgery”, “PVR formation”, and “late redetachment”. After vitrectomy, the retina was suc-cessfully re-attachment and the visual acuity was improved. Conclusion: The success rate of vitrec-tomy can be high in patients with recurrent retinal detachment after scleral buckling surgery. The keynotes were meticulous vitreous-base shaving and complete removal of proliferative membranes.

关 键 词：巩膜扣带术 复发性视网膜脱离 玻璃体切割手术 

分 类 号：R73[医药卫生—肿瘤]