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玻璃体切割加巩膜扣带术治疗视网膜脱离 被引量:3

Vitrectomy with scleral buckling for retinal detachment
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摘要 目的探讨玻璃体切割术中、术后巩膜扣带术的应用范围。方法在玻璃体切割术中发现视网膜裂孔不能与脉络膜紧贴的患者,或术后视网膜裂孔封闭不理想并伴有局限性视网膜脱离者,按常规行巩膜扣带术。结果87眼中,玻璃体切割术中行巩膜扣带术36眼,术后行扣带术42眼,玻璃体切割术中及术后各行1次扣带术6眼,术后行2次扣带术3眼,其中视网膜复位79眼,失败的8眼中,有6例行第2次玻璃体切割术,视网膜复位5眼。结论巩膜扣带术适合于视网膜增厚及视网膜前后膜增殖不严重、裂孔小、视网膜脱离范围不大的患者。 AIM: To explore the application of scleral buckling in or after vitrectomy surgery.· METHODS: Scleral bulkling was performed in cases in which the adhesion between the pigment epithelium and the sensory retina was not created in vitrectomy surgery, or the retina break was not obturated, combined with limited retinal detachment after vitrectomy surgery.· RESULTS: Among the 87 eyes, 36 eyes were treated with scleral bulkling in vitrectomy surgery, 42 eyes with after vitrectomy surgery, 6 eyes with scleral bulkling in and after vitrectomy surgery and 3 eyes were treated with scleral bulkling for twice after vitrectomy surgery respectively. Totally 79 eyes were repaired successfully, and in the other 8 eyes, 6 were treated once more and 5 were repaired finally.· CONCLUSION: Scleral buckling is suitable for cases with low-grade proliferative vitreoretinopathy, small retinal breaks and limited retinal detachment.·
出处 《国际眼科杂志》 CAS 2004年第5期863-864,共2页 International Eye Science
关键词 巩膜扣带术 玻璃体切割术 术后 视网膜脱离 术中 治疗 视网膜裂孔 vitrectomy scleral buckling retinal detachment
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