摘要
孔源性视网膜脱离的治疗主要依赖外路手术(巩膜扣带术)与内路手术(玻璃体切除术)。近年来,随着玻璃体切除术快速发展,其应用日益广泛,而外路手术因学习曲线较长,在临床实践中呈现被边缘化的趋势,甚至在部分本适于外路手术的病例中亦被替代。本文系统讨论两种术式的特有并发症、适应证,强调外路手术在儿童患者、有晶状体眼中度复杂性孔源性视网膜脱离等特定群体中仍具备不可替代的价值。术式选择应基于对病变特点、患者条件及术式优势的综合评估,以实现个体化精准治疗。
The management of rhegmatogenous retinal detachment(RRD)primarily relies on two core surgical modalities:scleral buckling(SB)and pars plana vitrectomy(PPV).In recent years,the rapid advancement of PPV technology has facilitated its increasingly widespread clinical application.However,due to its steep learning curve,SB has become progressively marginalized in clinical practice.In some instances,it has even been substituted for cases that were originally indicated for SB.This article systematically analyzes the unique complications and indications of both surgical approaches,highlighting the irreplaceable value of SB in specific patient populations,such as pediatric patients and those with moderately complex RRD in phakic eyes.It is proposed that the selection of surgical strategy should be based on a comprehensive evaluation of lesion characteristics,patient-specific factors,and the inherent advantages of each technique,thereby enabling individualized and precise treatment.
作者
赵培泉
张文婷
彭婕
Zhao Peiquan;Zhang Wenting;Peng Jie(Department of Ophthalmology,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China)
出处
《中华眼科杂志》
北大核心
2026年第1期14-17,共4页
Chinese Journal of Ophthalmology
基金
国家重点研发计划(2024YFC2510900)
上海交通大学医学院附属新华医院学科攀峰计划(XKPF2024A5002)。
