CAJ | 학술논문

经睫状体扁平部玻璃体手术是一种常用的玻璃体视网膜手术方法,这种手术技术的快速进展使许多潜在致肓性玻璃体视网膜疾病得到了有效治疗.由于手术器械和技巧的改善,玻璃体手术的并发症逐渐减少,但在临床上仍时有发生.例如,巩膜切口相关并发症可引起视网膜脱离和视力丧失,因而在临床上备受关注.本文回顾了常见的与巩膜切口相关的并发症,包括巩膜切口相关的视网膜裂孔和视网膜脱离、巩膜切口处纤维血管长入(FVI)以及玻璃体嵌顿等,并就其发生的危险因素和预防措施进行了讨论.
경첩상체편평부파리체수술시일충상용적파리체시망막수술방법,저충수술기술적쾌속진전사허다잠재치황성파리체시망막질병득도료유효치료.유우수술기계화기교적개선,파리체수술적병발증축점감소,단재림상상잉시유발생.례여,공막절구상관병발증가인기시망막탈리화시력상실,인이재림상상비수관주.본문회고료상견적여공막절구상관적병발증,포괄공막절구상관적시망막렬공화시망막탈리、공막절구처섬유혈관장입(FVI)이급파리체감돈등,병취기발생적위험인소화예방조시진행료토론.
Pars plana vitrectomy (PPV) is a common vitreoretinal surgical procedure. With its rapid advances many vitreoretinal diseases that have the potential to blind can now be treated. Although surgical complications are decreasing due to the improvement of surgical tools and techniques, these are not uncommon in our daily clinical practice. The sclerotomy-related complications, for example, are of great concern because they can result in retinal detachment and loss of vision. This article will review the common sclerotomy-re-lated complications including the sclerotomy-related retinal breaks and detachment, fibrovaacular ingrowth into the sclerotomy site, and vitreous incarceration. The risk factors and the practical measures to prevent these complications are also discussed. (Ophthalmol CHN, 2009, 18: 225-228)