CAJ | 학술논문

目的探讨高度近视黄斑裂孔性视网膜脱离玻璃体手术中行黄斑裂孔光凝的适应证及手术技巧并评价治疗效果.方法选择21例高度近视黄斑裂孔性视网膜脱离患者,行常规经平坦部玻璃体切除、重水下行黄斑裂孔激光光凝、气-液交换、C3F8填充玻璃体腔,术后保持头低位,随访1～6个月.结果 18例术后视网膜全部复位,3例气体吸收后视网膜脱离复发;术后视力提高者16例,不变者2例,下降者3例.结论对于某些高度近视黄斑裂孔性视网膜脱离,行玻璃体手术,并在手术中行激光封闭黄斑裂孔能够到达复位视网膜、防止视网膜脱离复发的目的.
목적 탐토고도근시황반렬공성시망막탈리파리체수술중행황반렬공광응적괄응증급수술기교병평개치료효과.방법 선택21례고도근시황반렬공성시망막탈리환자,행상규경평탄부파리체절제、중수하행황반렬공격광광응、기-액교환、C3F8전충파리체강,술후보지두저위,수방1～6개월.결과 18례술후시망막전부복위,3례기체흡수후시망막탈리복발;술후시력제고자16례,불변자2례,하강자3례.결론 대우모사고도근시황반렬공성시망막탈리,행파리체수술,병재수술중행격광봉폐황반렬공능구도체복위시망막、방지시망막탈리복발적목적.
Objective To investigate the indication and operative skill and clinical effect of vitrectomy associatied with photocoagulation to macular hole to treat retina detachment caused by macular hole in highly myopic eyes.Methods A total of 21 highly myopic eyes with retina detachment caused by macular hole woe received vrtrectomy.During surgery, perfluorodecalin were injected in the macular hole, photocoagulation to macular hole, gas-liquid exchange and filled vitreous with 14%C3F8 were carried out in following steps. Keep head down after surgery.The follow up duration was 1 to 6 months.Results The retina of all of these 21 eyes was reattached.Macular hole were not adhered firmly in 3 eyes and retina re-detached when gas were absorbed.Visual acuity were improved in 16 eyes, unchanged in 2 eyes and decreased in 3 eyes.Conclusions The surgery of vitrectomy associatied with photocoagulation to macular hole can effectively treat retina detachment caused by macular hole in highly myopic eyes.