CAJ | 학술논문

目的讨论采用间接镜氪激光光凝结合改进宽环扎治疗视网膜脱离的临床疗效.方法对41例41只眼PVRB级或以下的孔源性视网膜脱离病人行宽环扎、放液,部分病人联合玻璃体腔注气或平衡液,术后间接镜氪激光治疗视网膜裂孔.结果视力提高:术后视力为3.87±0.74,术前视力为3.40±0.86,P<0.05.视网膜复位情况:41只眼中手术成功36只眼,5只眼复发性,成功率88.37%.5只眼复发性视网膜脱离,除1例外伤性视网膜脱离放弃手术外,其余患者均行玻璃体手术后复位.结论对视网膜脱离术我们建议遵循手术方式简单、并发症少的原则.选择适当病例,间接镜氪激光光凝结合改进宽环扎治疗视网膜脱离是一种安全、简便、易操作、效果良好的方法.
목적 토론채용간접경극격광광응결합개진관배찰치료시망막탈리적림상료효.방법 대41례41지안PVRB급혹이하적공원성시망막탈리병인행관배찰、방액,부분병인연합파리체강주기혹평형액,술후간접경극격광치료시망막렬공.결과 시력제고:술후시력위3.87±0.74,술전시력위3.40±0.86,P<0.05.시망막복위정황:41지안중수술성공36지안,5지안복발성,성공솔88.37%.5지안복발성시망막탈리,제1예외상성시망막탈리방기수술외,기여환자균행파리체수술후복위.결론 대시망막탈리술아문건의준순수술방식간단、병발증소적원칙.선택괄당병례,간접경극격광광응결합개진관배찰치료시망막탈리시일충안전、간편、역조작、효과량호적방법.
Objective To assess the clinical result of the krypton laser photocoagulation using indirect ophthalmoscopy combined with improved encircling scleral buckles.Methods Forty-one eyes of 41 patients were treated with encircling scleral buckles and drainage, some combined with intravitreal injection of gas or balanced salt solution (BSS).All of the retinal breaks were treated with krypton laser photocoagulation using indirect ophthalmoscopy after surgery.Results The visual acuity improved (P<0.05).The reattachment of the retina: 36 eyes were successfully repaired, 5 eyes became recurrent retinal detachment (the reattachment rate was 88.37%).Among the 5 cases, 4 patients were successfully treated with vitrectomy except one patient of traumatic retinal detachment was given up.Conclusions The treatment of retinal detachment should follow the principles of simple surgical methods and fewer complications.The krypton laser photocoagulation using indirect ophthalmoscopy combined with improved encircling scleral buckles in the treatment of retinal detachment in proper cases is a safe, simple and convenient, easy operated and effective method.