CAJ | 학술논문

目的探讨术前玻璃体腔注射曲安奈德及healon联合玻璃体手术治疗脉络膜脱离型视网膜脱离的疗效及安全性.方法选择未经有效治疗的脉络膜脱离型视网膜脱离患者11例(1 1只眼),于手术前经睫状体平坦部向玻璃体腔内注入曲安奈德混悬液和healon,注药后观察眼压葡萄膜炎反应及脉络膜脱离消失情况,并于5日之内行玻璃体手术.结果注药后11只眼眼压均恢复良好,葡萄膜炎反应症状均不同程度减轻,10只眼脉络膜脱离眼于注药后5日内消失,所有病例均行玻璃体手术,术后11只眼均视力有不同程度提高,10只眼视网膜复位良好.结论术前玻璃体腔注射曲安奈德和healon联合玻璃体手术是一种安全有效地治疗脉络膜脱离型视网膜脱离的方法.
목적 탐토술전파리체강주사곡안내덕급healon연합파리체수술치료맥락막탈리형시망막탈리적료효급안전성.방법 선택미경유효치료적맥락막탈리형시망막탈리환자11례(1 1지안),우수술전경첩상체평탄부향파리체강내주입곡안내덕혼현액화healon,주약후관찰안압포도막염반응급맥락막탈리소실정황,병우5일지내행파리체수술.결과 주약후11지안안압균회복량호,포도막염반응증상균불동정도감경,10지안맥락막탈리안우주약후5일내소실,소유병례균행파리체수술,술후11지안균시력유불동정도제고,10지안시망막복위량호.결론 술전파리체강주사곡안내덕화healon연합파리체수술시일충안전유효지치료맥락막탈리형시망막탈리적방법.
Objective To investigate the effect of vitrectomy with preoperatively intravitreal drug-injection for treatment of retinal detachment with choroidal detachment.Methods Eleven cases (11 eyes) of retinal detachment with choroidal detachment were chosen and triamcinolone acetonide (TA) and healon were administrated via intravitreal injection through pars plana.The intraocular pressure,uveitis and choroidal reattachment condition were observed.All eyes underwent with vitrectomy within 5 days after intravitreal drug-injection.Results All eyes were demonstrated elevated intraocular pressure and alleviated uveitis.Choroidsal detachment disappeared in 10 eyes within 5 days after intravitreal drug-injection,then all eyes underwent vitrectomy,the postoperation vision improved in 11eyes,retinal reattachment was attained in 10 eyes.Conclusions Vitrectomy with preoperatively intravitreal injection of triamcinolone acetonide and healon is an effective and safe method to treat retinal detachment with choroidal detachment.