CAJ | 학술논문

目的探讨玻璃体切割术联合巩膜扣带、眼内填充硅油或惰性气体(C2>F6>),对晚期急性视网膜坏死所致的裂孔源性视网膜脱离的疗效.方法回顾性分析10例(10只眼)晚期急性视网膜坏死合并视网膜脱离患者的临床资料,包括临床表现、辅助检查及治疗过程.随访2～32个月,平均(15.20±10.84)月.结果至随访结束,8只眼视网膜复位,1只眼部分复位,1只眼视网膜脱离复发.9只硅油填充眼中6只行硅油取出,其中5只眼视网膜复位,1只眼视网膜脱离再发.视力情况:8只眼提高,1只眼无变化,1只跟减退.2只眼术后发生低眼压.结论晚期急性视网膜坏死所致的视网膜脱离,通过玻璃体切割手术联合硅油或惰性气体填充视网膜复位率较高,可获得较满意的视力.为预防低眼压发生.建议在行大面积视网膜切开切除的病人中,若无并发症的发生,硅油可暂不取出,以保存有用的视力.
목적 탐토파리체절할술연합공막구대、안내전충규유혹타성기체(C2>F6>),대만기급성시망막배사소치적렬공원성시망막탈리적료효.방법 회고성분석10례(10지안)만기급성시망막배사합병시망막탈리환자적림상자료,포괄림상표현、보조검사급치료과정.수방2～32개월,평균(15.20±10.84)월.결과 지수방결속,8지안시망막복위,1지안부분복위,1지안시망막탈리복발.9지규유전충안중6지행규유취출,기중5지안시망막복위,1지안시망막탈리재발.시력정황:8지안제고,1지안무변화,1지근감퇴.2지안술후발생저안압.결론 만기급성시망막배사소치적시망막탈리,통과파리체절할수술연합규유혹타성기체전충시망막복위솔교고,가획득교만의적시력.위예방저안압발생.건의재행대면적시망막절개절제적병인중,약무병발증적발생,규유가잠불취출,이보존유용적시력.
Objective To investigate the curative effects ofvitrectomy combined with scleral buckingand intraocular silicone oil or perfluoroethane (C2F6)tamponade for later stage acute retinal necrosis (ARN).Methods The clinical data of 10 eyes with 10 patients of later stage acute retinal necrosis combined withretinal detachment, included clinical manifestation, auxiliary examination and management wereretrospectively analyzed.The following time was 2 to 32 months,averaged 15.20±10.84 months.Results Atthe end of our following up, the retina had been well reattached in 8 eyes,partly reattached in 1 eye, anddetachment recurrence occurred in 1 eye.Of all the 9 eyes tamponaded with silicone oil,6 eyes had beenperformed silicone oil removal,and the retina was well attached in 5 eyes.The vision:8 eyes had improvedvision, 1 eye kept the same vision,and only one eye decreased to hand movement before the eye.Hypotony hashappened in 2 eyes.Conclusion Retinal detachment caused by later stage ARN could be well re.attached byvitrectomy, and the vision could be improved at the same time.To prevent hypotony, it has been suggested thatif the patient has been performed retina dissection or excision in large area the silicone oil could not beremoved until the complication has occurred.