CAJ | 학술논문

目的观察玻璃体切割手术中出现医源性脉络膜裂孔的处理及其预后情况.方法 11例(11只眼)患者在行玻璃体切割手术中发生医源性脉络膜裂孔,随即行眼内硅油填充.其中全层脉络膜裂孔患者10例,有3例患者在术中行巩膜冷凝和外加压封闭,有7例未予处理;板层脉络膜裂孔患者1例,在术中末予处理.结果 1例板层脉络膜裂孔患者在术后2d形成全层裂孔,当即行巩膜冷凝和外加压手术,术后裂孔封闭.所有行巩膜扣带术的患者脉络膜裂孔愈合良好,末见复发.4例患者术后3～6个月取出眼内硅油,术中未处理脉络膜裂孔的7例患者未行硅油取出.结论巩膜扣带术封闭脉络膜裂孔效果良好可靠,可行硅油取出;术中未处理脉络膜裂孔的患者为保存患眼视力可暂不取出硅油.
목적 관찰파리체절할수술중출현의원성맥락막렬공적처리급기예후정황.방법 11례(11지안)환자재행파리체절할수술중발생의원성맥락막렬공,수즉행안내규유전충.기중전층맥락막렬공환자10례,유3례환자재술중행공막냉응화외가압봉폐,유7례미여처리;판층맥락막렬공환자1례,재술중말여처리.결과 1례판층맥락막렬공환자재술후2d형성전층렬공,당즉행공막냉응화외가압수술,술후렬공봉폐.소유행공막구대술적환자맥락막렬공유합량호,말견복발.4례환자술후3～6개월취출안내규유,술중미처리맥락막렬공적7례환자미행규유취출.결론 공막구대술봉폐맥락막렬공효과량호가고,가행규유취출;술중미처리맥락막렬공적환자위보존환안시력가잠불취출규유.
Objective To observe whether silicone oil can be removed late from eyes with iatrogenie ehoroid hole caused by vitrectomy.Methods Eleven patients(11 eyes)occurred iatrogenic choroid hole during the process of vitectomy,and all the llcases were silicone oil eyes,in which 7 cases with full layer ehoroid hole were left untreated during operation,3 eases with full layer choroid hole were performed scleral cryotherapy and outside pressurized operation to close the hole,1 case with lamella hole was left untreated during operation.Results One case with lamella hole developed into full layer hole in 2～3 days after operation,and then was performed scleral cryotherapy and outside pressurized operation at the same day,the hole was closed after operation.All the cases after the operation of scleral buckling were closed up well and no cases recurred.The silicone oil was removed in 3～6 months postoperatively in 4 patients,but oils in the eyes with hole in 7 untreated patients during the operation were not been removed.Conclusions The operation of scleral buckling was effective and reliable to close choroid hole,the silicone oil could be removed.But the removal operation could not be performed temporarily on the untreated cases with choroid hole.