CAJ | 학술논문

目的观察使用非接触双目间接眼底显微镜(BIOM)联合前房灌注系统(ACM)行玻璃体切割术处理复杂玻璃体视网膜病变的临床疗效.方法 6例(6只眼)复杂玻璃体视网膜病变行玻璃体切割术时,为了避免医源性的脉络膜视网膜损伤,采用前房灌注来维持眼压,晶状体摘除及前部玻璃体切割后,切换至BIOM行玻璃体视网膜手术.临床随访3～11月,评估手术疗效及并发症.结果 6例BIOM联合ACM的玻璃体切割术在操作中未见明显困难.术后5例视力提高,1例无变化.主要长期并发症为低眼压、前部PVR、视网膜前膜.4例行硅油取出术后,视网膜在位. 结论采用BIOM联合ACM行玻璃体切割术治疗复杂玻璃体视网膜病变安全、有效,在实践中具有可行性.
목적 관찰사용비접촉쌍목간접안저현미경(BIOM)연합전방관주계통(ACM)행파리체절할술처리복잡파리체시망막병변적림상료효.방법 6례(6지안)복잡파리체시망막병변행파리체절할술시,위료피면의원성적맥락막시망막손상,채용전방관주래유지안압,정상체적제급전부파리체절할후,절환지BIOM행파리체시망막수술.림상수방3～11월,평고수술료효급병발증.결과 6례BIOM연합ACM적파리체절할술재조작중미견명현곤난.술후5례시력제고,1례무변화.주요장기병발증위저안압、전부PVR、시망막전막.4례행규유취출술후,시망막재위. 결론 채용BIOM연합ACM행파리체절할술치료복잡파리체시망막병변안전、유효,재실천중구유가행성.
Objective To evaluate the clinical results of vitrectomy by using binocular indirect ophthalmomicroscope (BIOM) combined with anterior chamber maintainer (ACM) for complicated vitreoretinopathy.Methods Six cases (6 eyes) of complicated vitreoretinopathy were undergone vitrectomy,during which ACM was used to maintain intraocular pressure and prevent from iatrogenic injury of choroid and retina.After lens and anterior vitreous removal,vitrectomy was completed through a BIOM observation system.The follow-up time ranged from 3 months to 11 months.The effects and complications were analyzed.Results No obvious drawback was noticed during the 6 cases vitrectomy by using BIOM and ACM combination.The visual acuities improved in 5 cases and remained stable in 1 case after operation.The major long-term complications were hypotony,epiretinal membrane,and anterior proliferative vitreoretinopathy.Retinal reattached in 4 cases after silicone oil removal.Conclusions The vitrectomy combined BIOM with ACM is effective and safe for complicated vitreoretinopathy,and clinical results ascertained the practical feasibility of it.