CAJ | 학술논문

目的总结硅油填充眼视网膜脱离复发时应用光导直视下巩膜扣带术治疗的效果.方法对就诊于吉林大学第二医院并接受光导直视下巩膜扣带术治疗硅油眼视网膜脱离复发的12例(12只眼)患者进行回顾性分析.结果应用光导直视下巩膜扣带术治疗后网膜复位11只眼(91.7%),其中8只眼行硅油取出术后网膜保持复位.术眼均保持了一定视力,其中4只眼(33.3%)视力在0.1以上.结论对于硅油填充术后视网膜再脱离范围局限、前部PVR轻微、裂孔较明确、多位于赤道前、下方裂孔、伴有孔缘局部网膜僵硬的上方裂孔的患者,采用光导直视下行裂孔冷冻、巩膜外垫压或联合环扎术进行治疗,取得了较好的治疗效果.
목적 총결규유전충안시망막탈리복발시응용광도직시하공막구대술치료적효과.방법 대취진우길림대학제이의원병접수광도직시하공막구대술치료규유안시망막탈리복발적12례(12지안)환자진행회고성분석.결과 응용광도직시하공막구대술치료후망막복위11지안(91.7%),기중8지안행규유취출술후망막보지복위.술안균보지료일정시력,기중4지안(33.3%)시력재0.1이상.결론 대우규유전충술후시망막재탈리범위국한、전부PVR경미、렬공교명학、다위우적도전、하방렬공、반유공연국부망막강경적상방렬공적환자,채용광도직시하행렬공냉동、공막외점압혹연합배찰술진행치료,취득료교호적치료효과.
Objective To summarize therapeutic efficacy of scleral buckling with optical fiber in retinal detachment of silicone oil-filled eyes.Methods we retrospectively studied the clinical materials of 12 patients(12 eyes)who suffered retinal detachment in their silicone oil-filled eyes and undergone scleral buckling with optical fiber in the second hospital.Results retina were re-attachment in 11eyes(91.7%)after scleral buckling operation with optical fiber.There were 8 eyes in our cases maintained retina attachment even after silicone oil was taken out.All the eyes maintained visual acuity in some degree,the visual acuity of 4 eyes(33.3%1 were above 0.1.Conclusions scleral buckling therapy with optical fiber can be effective to retinal detachment of silicone oil-filled eyes in such cases as localized detachment,slight anterior PVR,defined retinal hole,retinal hole before scleral equator,inferior hole,superior retinal hole with hard rim.