CAJ | 학술논문

目的观察手术显微镜直视下经外路手术治疗裂孔源性视网膜脱离的疗效.方法在手术显微镜直视下,8眼PVR分级A级和9眼B级实行了裂孔定位、冷凝和外加压术,9眼C1级行裂孔冷凝、外加压和环扎术,共36例36眼.术后随访6个月,观察手术疗效.结果一次手术视网膜复位34眼(94.4％),二次手术视网膜复位35眼(97.2％),1眼失败改行玻璃体视网膜手术.无明显手术并发症发生.结论手术显微镜直视下治疗简单性裂孔源性视网膜脱离立体感好、疗效可靠.
목적 관찰수술현미경직시하경외로수술치료렬공원성시망막탈리적료효.방법 재수술현미경직시하,8안PVR분급A급화9안B급실행료렬공정위、냉응화외가압술,9안C1급행렬공냉응、외가압화배찰술,공36례36안.술후수방6개월,관찰수술료효.결과 일차수술시망막복위34안(94.4％),이차수술시망막복위35안(97.2％),1안실패개행파리체시망막수술.무명현수술병발증발생.결론 수술현미경직시하치료간단성렬공원성시망막탈리입체감호、료효가고.
Objective To observe the clinical results of rhegmatogenous retinal detachment treated with extrascleral microsurgery.Methods 36 eyes of rhegmatogenous retinal detachment were treated by direct observation for the retinal holes or tears localization and cryotherapy under microscope.At the same time,8 eyes with stage A proliferative vitreoretinopathy (PVR) and 9 eyes with stage B PVR were performed local scleral bukling,and 9 eyes with stage C1 PVR were treated with plused cycling scleral buckling.All patients were followed up for 6 months.Results After the first surgery,the retina were reattached in 34 eyes (94.4％),one eye received the second extra scleral microsurgery and the retina was reattached,the other one eye received vitrectomy after 2 times of surgery.No obvious complication was found.Conclusion For simple rhegmatogenous retinal detachment,extrascleral retinal surgery under microscope has good stereoscopic feeling and good surgical results