摘要
目的 探讨玻璃体切除术治疗人工晶状体眼视网膜脱离 (retinaldetachment,RD)的效果。方法 对 32例 ( 32只眼 )植入人工晶状体后RD患眼行玻璃体切除术 ,其中首次治疗采用玻璃体切除术 11只眼 ( 34 4% ) ,巩膜扣带术失败后再行玻璃体切除术 2 1只眼 ( 6 5 6 % ) ,玻璃体切除术中联合硅油充填 10只眼 ( 31 3% ) ,玻璃体切除术同时行人工晶状体取出 12只眼 ( 37 5 % )。术后随诊 6个月至5年。结果 玻璃体切除术中发现视网膜新裂孔 7只眼 ( 2 1 9% ) ;视网膜最终解剖完全复位 2 5只眼( 78 1% ) ;部分复位 4只眼 ( 12 5 % ) ;未复位 3只眼 ,均由于严重增殖性玻璃体视网膜病变 (proliferativevitreoretinopathy,PVR)所致。术后视网膜复位眼视力均较术前有所提高。结论 玻璃体切除术中可发现视网膜新裂孔 ,解除视网膜牵引 ,可减少术后PVR的发生。对复杂性人工晶状体眼RD患者采用玻璃体切除术 ,可提高手术成功率 。
Objective To study the method of vitrectomy for treatment of pseudophakic retinal detachment. Methods 32 pseudophakic retinal detachment eyes were treated with vitrectomy, primary vitrectomy in 11 eyes (344%), vitrectomy after conventional buckling failure in 21 eyes (656%), combind with silicone oil 10 eyes (313%), removal of introculor lens 12 eyes (375%) All eyes had passed the 6 months to 5 years of followup examination Results Intraoperative new retinal breaks were identified in 7 eyes(219%) The retinal total reattachment was in 25 eyes (781%); part reattachment was in 4 eyes (125%), and their visual acuity was improved than that before the operation.Due to severe proliferative vitreoretinopathy(PVR),failure occurred in 3 eyes Conclusions The main advantage of vitrectomy is the better intraoperative sight to the peripheral retinal breaks , removal of retinal traction and the low rate of PVR after vitrectomy Vitrectomy for complicated type of pseudophakic retinal detachment can improve the success rate of the retinal detachment surgery and the visual acuity outcome.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
2000年第2期104-106,共3页
Chinese Journal of Ophthalmology
