CAJ | 학술논문

目的探讨巩膜外冷凝联合玻璃体腔全氟丙烷(C3F8)填充术治疗上方裂孔视网膜脱离的术后并发症,并对其特点加以分析.方法选取26例(26只眼)上方裂孔视网膜脱离患者行巩膜外冷凝联合玻璃体腔注射C3F8气体治疗.术中巩膜外冷凝裂孔位置,颞上或鼻上睫状体扁平部进针,注入浓度50％～100％长效气体C3F8约0.3～0.8 ml,指测眼压正常,光感明确.术后保持面向下体位l周以上.观察其并发症.结果术后1月内6例发生高眼压；4例发生玻璃体混浊,其中3例1月后视网膜再次脱离,3例中2例为视网膜前增殖；16例发生晶状体可逆性混浊.结论巩膜外冷凝联合玻璃体腔注气治疗单纯上方裂孔视网膜脱离操作简单,适用于局限性裂孔视网膜脱离的病人,但应重视这种手术方式的局限性,严格把握其适应证,避免术后并发症.
목적 탐토공막외냉응연합파리체강전불병완(C3F8)전충술치료상방렬공시망막탈리적술후병발증,병대기특점가이분석.방법 선취26례(26지안)상방렬공시망막탈리환자행공막외냉응연합파리체강주사C3F8기체치료.술중공막외냉응렬공위치,섭상혹비상첩상체편평부진침,주입농도50％～100％장효기체C3F8약0.3～0.8 ml,지측안압정상,광감명학.술후보지면향하체위l주이상.관찰기병발증.결과 술후1월내6례발생고안압；4례발생파리체혼탁,기중3례1월후시망막재차탈리,3례중2례위시망막전증식；16례발생정상체가역성혼탁.결론 공막외냉응연합파리체강주기치료단순상방렬공시망막탈리조작간단,괄용우국한성렬공시망막탈리적병인,단응중시저충수술방식적국한성,엄격파악기괄응증,피면술후병발증.
Objective To investigate the clinical results and surgical complications associated with eryotherapy combined with C3F8 temponade in the treatment in superior rhegmatogenous retinal detachment. Methods Twenty-six consecutive patients with superior rhegmatogenous retinal detachment were included. Cryotherapy and C3F8 temponade were performed in all patients.Face-down position for 1 week was required after the surgery. Result Elevated IOP were noted in 6 eyes,vitreous opacities in 4 eyes within the 1st month post-operatively.Reversible posterior subcapsular opacity was found in 16 eyes.Retinal redetachment were found in 3 eyes due to reopening of retinal tear (1 eye) or new tear (2 eyes) within 1 month postoperatively.Proliferative vitreoretinopathy were developed in 2 eyes.Further vitreotomy were performed in these 5 eyes. Conclusions Cryotherapy combined with C3F8 intraocular temponade is an effective,easy and less invasive surgery in superior retinal detachment.The post-operative complications including increased IOP,vitreous opacity,retinal redetachment and proliferative retinopathy should be considered.