CAJ | 학술논문

目的探讨人工晶状体(IOL)眼视网膜脱离外路显微手术的临床效果.方法对21例(22只眼)IOL眼视网膜脱离,先预置环扎带,然后在手术显微镜直视下完成环扎带及硅压块缝线、排视网膜下液、视网膜冷凝、硅压、检查裂孔位置、扎紧环扎带和眼内注气等操作,定期观察手术效果.结果一次手术视网膜复位18只眼,再次手术视网膜复位3只眼,最终视网膜复位率95.5％.术后视力提高18只眼,不变2只眼,下降2只眼,最好矫正视力≥0.3者9只眼,无一例发生IOL移位及严重并发症.结论 IOL眼视网膜脱离外路显微手术适用于瞳孔区和晶状体囊膜相对透明区≥6 mm、PVR≤C1患者,具有操作简单、方便、安全、效果良好等优点.
목적 탐토인공정상체(IOL)안시망막탈리외로현미수술적림상효과.방법 대21례(22지안)IOL안시망막탈리,선예치배찰대,연후재수술현미경직시하완성배찰대급규압괴봉선、배시망막하액、시망막냉응、규압、검사렬공위치、찰긴배찰대화안내주기등조작,정기관찰수술효과.결과 일차수술시망막복위18지안,재차수술시망막복위3지안,최종시망막복위솔95.5％.술후시력제고18지안,불변2지안,하강2지안,최호교정시력≥0.3자9지안,무일례발생IOL이위급엄중병발증.결론 IOL안시망막탈리외로현미수술괄용우동공구화정상체낭막상대투명구≥6 mm、PVR≤C1환자,구유조작간단、방편、안전、효과량호등우점.
Objective To evaluate the clinical efficacy of external-route microsurgery for pseudophakic retinal detachment. Methods In 21 patients (22eyes) with pseudophakic retinal detachment,the buckling bands were preplaced,then under surgical microscope the suture of buckling and circling were placed,and drainage of subretinal fluid,retinal cryotherapy,buckling,examination of locating the holes,circling and intraocular injection of gas were performed.And the effects were observed during the follow-up. Results Retinal reattachment was achieved in 18 eyes after the primary surgery and in 3 eyes after the secondary surgery,with the final rate of reattachment was 95.5％.The postoperative visual acuity improved in 18 eyes,equaled in 2 eyes,and decreased in 2 eyes.The best-corrected visual acuity was ≥0.3 in 9 eyes.No intraocular lens shifted and serious complication occurred after surgery. Conclusions The external-route microsurgery for pseudophakic retinal detachment fits for the patients whose pupil and relative brightzone of capsule ≥6mm and PVR≤C1,and it is simple,convenient,safe,reliable,and effective.