中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2008年
2期
126-128
,共3页
张有亭%胡宏阁%程红松%许冰%赵晏黎
張有亭%鬍宏閣%程紅鬆%許冰%趙晏黎
장유정%호굉각%정홍송%허빙%조안려
视网膜脱离%陈旧性%巩膜表面加压术%环扎术%环扎加压术
視網膜脫離%陳舊性%鞏膜錶麵加壓術%環扎術%環扎加壓術
시망막탈리%진구성%공막표면가압술%배찰술%배찰가압술
Rhegmatogenous retinal detachment%long-standing%episcleral bucking%Encircling%encircling and bucking
目的 探讨外路手术治疗陈旧性裂孔性视网膜脱离的疗效,分析陈旧性裂孔性视网膜脱离的临床特点.方法 陈旧性裂孔性视网膜脱离34例(34只眼),在双目间接检眼镜直视下行裂孔及变性区定位,在裂孔及变性区周围行视网膜冷凝后,根据情况分别采用巩膜表面加压术、环扎术或环扎加压术.术后定期观察视力、玻璃体及视网膜复位情况.结果 ①随访1～6个月,术后视网膜裂孔封闭,完全复位28只眼,再脱离6只眼,均发生在手术后1个月;其中2例手术后不足10d再脱离.②视力情况:视力提高28只眼,矫正视力＜0.3者18只眼,≥0.3者10只眼.③视网膜下液吸收情况:3d完全吸收19例,6d完全吸收7例,3～4周吸收2例.④冷凝反应:Ⅰ级10只眼,Ⅱ级14只眼,Ⅲ级4只眼.结论 在双目间接检眼镜直视下,外路手术治疗陈旧性裂孔性视网膜脱离的手术效果良好,值得临床推广.手术后视网膜的复位和视力与病程有密切关系.陈旧性裂孔性视网膜脱离多是因为早期的误诊造成,应引起临床医生注意.
目的 探討外路手術治療陳舊性裂孔性視網膜脫離的療效,分析陳舊性裂孔性視網膜脫離的臨床特點.方法 陳舊性裂孔性視網膜脫離34例(34隻眼),在雙目間接檢眼鏡直視下行裂孔及變性區定位,在裂孔及變性區週圍行視網膜冷凝後,根據情況分彆採用鞏膜錶麵加壓術、環扎術或環扎加壓術.術後定期觀察視力、玻璃體及視網膜複位情況.結果 ①隨訪1～6箇月,術後視網膜裂孔封閉,完全複位28隻眼,再脫離6隻眼,均髮生在手術後1箇月;其中2例手術後不足10d再脫離.②視力情況:視力提高28隻眼,矯正視力＜0.3者18隻眼,≥0.3者10隻眼.③視網膜下液吸收情況:3d完全吸收19例,6d完全吸收7例,3～4週吸收2例.④冷凝反應:Ⅰ級10隻眼,Ⅱ級14隻眼,Ⅲ級4隻眼.結論 在雙目間接檢眼鏡直視下,外路手術治療陳舊性裂孔性視網膜脫離的手術效果良好,值得臨床推廣.手術後視網膜的複位和視力與病程有密切關繫.陳舊性裂孔性視網膜脫離多是因為早期的誤診造成,應引起臨床醫生註意.
목적 탐토외로수술치료진구성렬공성시망막탈리적료효,분석진구성렬공성시망막탈리적림상특점.방법 진구성렬공성시망막탈리34례(34지안),재쌍목간접검안경직시하행렬공급변성구정위,재렬공급변성구주위행시망막냉응후,근거정황분별채용공막표면가압술、배찰술혹배찰가압술.술후정기관찰시력、파리체급시망막복위정황.결과 ①수방1～6개월,술후시망막렬공봉폐,완전복위28지안,재탈리6지안,균발생재수술후1개월;기중2례수술후불족10d재탈리.②시력정황:시력제고28지안,교정시력＜0.3자18지안,≥0.3자10지안.③시망막하액흡수정황:3d완전흡수19례,6d완전흡수7례,3～4주흡수2례.④냉응반응:Ⅰ급10지안,Ⅱ급14지안,Ⅲ급4지안.결론 재쌍목간접검안경직시하,외로수술치료진구성렬공성시망막탈리적수술효과량호,치득림상추엄.수술후시망막적복위화시력여병정유밀절관계.진구성렬공성시망막탈리다시인위조기적오진조성,응인기림상의생주의.
Objective To evaluate the therapeutic effect of scleral buckling surgery for long-standing rhegmatogenous retinal detachment(LRRD)under binocular indirect ophthalmoscope and the clinical features of its.Methods 34 cases(34 eyes)were the LRRD.Its were performed the location of retinal breaks and mutational areas under binocular indirect ophthalmoscope,the retinal cryotheropy was involved around the retinal breaks and mutational areas.In accordance with specific conditions,the different cases were used respectivelv episcleral backing,encircling or encircling and bucking.Visual acuity,vitreum and the condition of retinal redetachment were observed periodly after the surgery.Results ①Follow up was one to six months.Retinal breaks of 28 cases were closed and got complete redtachment after operation.6 cases occurred once again retinal detachment in one month.②Visual acuity:The visual acuity was improved in 28 eyes.The correct visual acuity was lower than 0.3 in 18 eyes but better than 0.3 in 10 eyes.③Condition of subretinal fluid to be absorped:19cases were completely absorped in 3 days,7 cases were completely absorped in 6 days,2 cases were completely absorped in 3～4 weeks.④Cryotheropy reaction.Ⅰ level in 10 eyes,Ⅱlevel in 14 eyes,and Ⅲ level in 4 eyes.Conclusion The scleral buckling surgery for LRRD under binocular indirect ophthalmoscope has good surgical effort,it should be spreaded and practised.The retinal redtachment and visual acuity after Operation are on intimate terms with time course of diease.The cause of LRRD occurring are maked an incorrect diagnosis by the clinical doctor,The clinical doctor should pay attention.
