CAJ | 학술논문

目的探讨人工晶体及无晶体眼巨大裂孔性视网膜脱离的手术治疗.方法 7例采用玻璃体切除术,术中使有过氟萘烷展平视网膜,眼内激光及眼外冷凝封闭视网膜裂孔,惰性气体或硅油于过氟萘烷交换.结果 7例手术后出院时视网膜均复位.C3F8气体填充2例中1例气体吸收后局部视网膜脱离,二次16%C3F8填充,视网膜复位.硅油填充5例于术后6个月～10个月取出眼内硅油3例,其中1例视网膜再脱离,二次注入硅油.7例术后视力不同程度提高.结论玻璃体切除术及术中使用过氟萘烷、眼内激光、眼外冷凝封闭视网膜裂孔是治疗人工晶体眼及尤晶体眼巨大裂孔性视网膜脱离的有效方法.
목적 탐토인공정체급무정체안거대렬공성시망막탈리적수술치료.방법 7례채용파리체절제술,술중사유과불내완전평시망막,안내격광급안외냉응봉폐시망막렬공,타성기체혹규유우과불내완교환.결과 7례수술후출원시시망막균복위.C3F8기체전충2례중1례기체흡수후국부시망막탈리,이차16%C3F8전충,시망막복위.규유전충5례우술후6개월～10개월취출안내규유3례,기중1례시망막재탈리,이차주입규유.7례술후시력불동정도제고.결론 파리체절제술급술중사용과불내완、안내격광、안외냉응봉폐시망막렬공시치료인공정체안급우정체안거대렬공성시망막탈리적유효방법.
Objective To discuss surgical management of giant rhegnmatogenous retinal detachment with intraocular lens and aphakic eye.Methods 7cases were operated by pars plana vitrectomy combined with perfluorocarbon,preretinal,membrane,peeling,endophotocogulation,cryopexy,and intraocular air 16% C3F8 in 2cases of or siliconeoil in 5cases temponade were used to flatten the retina.Results The retina reattached in 7 cases.1 case of 16% C3F8 tamponade in 2 cases was not reattached.The visual acuity improvedin 7 cases postoperatively.Conclusion The vitrectomy combined with perfluorocarbon,preretinal membra-ne peeling,endophotocogulation,cryopexy and intraocular tamponade is one of the effective methods to treat the giant rhegnmtogenous retinal detachment with intraocular lens and aphakic eye.