CAJ | 학술논문

目的探索利用23G经结膜无缝线玻璃体切割手术治疗巩膜扣带术失败的视网膜脱离患者的可行性及对眼表结构的保护作用.方法 8例患者8只眼接受手术,均使用Alcon公司的一步法穿刺套管.所使用的眼内手术器械是Alcon的23G专用器械,手术是在Zeiss 200P手术显微镜下使用Alcon Accuras 400高速玻璃体切割平台下进行.术毕均充填20%的C3F8.结果 8例患者术后切口闭全良好无渗漏,术后3d有3例患者出现了轻度低眼压,3d后恢复正常.视网膜Ⅰ期复位.除了结膜下的轻度的出血外,无其他并发症发生;眼表结构保持完整,无新的瘢痕形成.术后3个月内有2例患者诉轻度的眼内异物感,其他患者未诉不适.结论 23G经结膜无缝线玻璃体切割手术能有效治疗巩膜扣带手术失败后的视网膜脱离,且有利于维持眼表结构的完整性.
목적 탐색이용23G경결막무봉선파리체절할수술치료공막구대술실패적시망막탈리환자적가행성급대안표결구적보호작용.방법 8례환자8지안접수수술,균사용Alcon공사적일보법천자투관.소사용적안내수술기계시Alcon적23G전용기계,수술시재Zeiss 200P수술현미경하사용Alcon Accuras 400고속파리체절할평태하진행.술필균충전20%적C3F8.결과 8례환자술후절구폐전량호무삼루,술후3d유3례환자출현료경도저안압,3d후회복정상.시망막Ⅰ기복위.제료결막하적경도적출혈외,무기타병발증발생;안표결구보지완정,무신적반흔형성.술후3개월내유2례환자소경도적안내이물감,기타환자미소불괄.결론 23G경결막무봉선파리체절할수술능유효치료공막구대수술실패후적시망막탈리,차유리우유지안표결구적완정성.
Objective To evaluate the feasibility of 23G transconjunctival sutureless vitrectomy (23G TSV) in treatment of rhegmatogenous retinal detachment after scleral buckling failed, and to explore whether the operation is helpful to protect the structure of ocular surface.Methods Eight patients with rhegmatogenous retinal detachment after scleral buckling failed were subject to operation, and the Alcon operation platform and the 23G TSV system were used.Results Retinal reattachment was achieved in all patients after surgery,and no serious complication occurred except for the mild subconjunctival hemorrhage.Furthermore, the structure integrity of ocular surface was maintained, and no new scar was formed.Conclusions 23G TSV is a useful technique for treating rhegmatogenous retinal detachment after scleral buckling failed, and it may be favorable to protect the structure of ocular surface.