CAJ | 학술논문

目的观察视网膜造孔取出视网膜下增生膜后,视网膜脱离的复位、造孔愈合及远期视网膜稳定性.方法 3例无裂孔视网膜下增生牵引性视网膜脱离,进行视网膜造孔取出视网膜下增生膜、造孔处眼内激光光凝封闭及玻璃体腔硅油填充.结果 3例(3眼)手术后视野扩大、视力不同程度提高.2周后造孔激光光斑处色素游离.1年后硅油取出,视网膜稳定.结论视网膜造孔取出视网膜下膜,是处理视网膜下增生牵引性视网膜脱离的较好方法 ,对视网膜损伤较小、脱离视网膜复位有效,但视力的恢复取决于视网膜本身条件.手术操作过程中应避开黄斑区域.
목적 관찰시망막조공취출시망막하증생막후,시망막탈리적복위、조공유합급원기시망막은정성.방법 3례무렬공시망막하증생견인성시망막탈리,진행시망막조공취출시망막하증생막、조공처안내격광광응봉폐급파리체강규유전충.결과 3례(3안)수술후시야확대、시력불동정도제고.2주후조공격광광반처색소유리.1년후규유취출,시망막은정.결론 시망막조공취출시망막하막,시처리시망막하증생견인성시망막탈리적교호방법 ,대시망막손상교소、탈리시망막복위유효,단시력적회복취결우시망막본신조건.수술조작과정중응피개황반구역.
Objective To observe the cure of the retinotomy incision,flatness and stability of the retina in long duration after removing subretinal strands through retinotomy in chronic retinal detachment.Methods The subretinal strand was removed through retinotomy in 3 cases of nonrhegmatogenous retinal detachment,the retinal hole was closed by endolaser photocoagulation,and silicone oil tamponade was performed.Results In the 3 cases,the vision and visual field was improved after surgery.Pigmentation of the retina around retinotomy appeared 2 weeks later.The retina was stable when the oil was removed one year after surgery.Conclusion Small retinotomy is an effective method to remove subretinal strands.The vision recovery is based on the retinal function.Macular damage should be avoid during the surgery.