摘要
目的探讨伴视网膜嵌顿的外伤性视网膜脱离的玻璃体手术方法及疗效。方法应用玻璃体切除、膜剥离、松解性视网膜切开、眼内激光、眼内充填术，部分病例结合巩膜外加压术治疗伴视网膜嵌顿的外伤性视网膜脱离１３例（１３只眼）。结果１３只眼术后视网膜均复位，３个月至３年随访期间，１０例视网膜保持平复；３例视网膜脱离复发，其中１例经再次手术使视网膜复位；解剖学复位结果为１１／１３，术后和随访时视力有不同程度提高。结论外伤性视网膜脱离合并嵌顿者常伴有严重的增殖性玻璃体视网膜病变（ｐｒｏｌｉｆｅｒａｔｉｖｅｖｉｔｒｅｏｒｅｔｉｎｏｐａｔｈｙ，ＰＶＲ），采用玻璃体视网膜联合手术是有效的治疗方法，施行松解性视网膜切开术以松解嵌顿口的视网膜牵拉是治疗成功的关键。
Objective To investigate the method and effect of vitreoretinal surgery for the traumatic retinal detachment with retinal incarceration. Methods 13 eyes of traumatic retinal detachment with incarceration were treated by vitrectomy, membrane peeling, relaxed retinotomy, endophotocoagulation, intraocular tamponade, and in some cases scleral buckling procedure. Results The retinae were attached in all the cases after operation. During the followup period of three months to three years, ten eyes kept the retina attached and three cases suffered from recurrent retinal detachment. One of them had had a second surgical procedure and obtained retinal reattachment. The anatomic result was 11/13. The visual acuities were improved in all the patients. Conclusions Traumatic retinal detachment with incarceration is often accompanied with severe proliferative vitreoretinopathy. Combination of vitreoretinal surgery is an effective method for the lesion. Relaxed retinotomy for the incarceration is the key procedure to obtain the operative success.
出处
《中华眼科杂志》
CAS
CSCD
北大核心
1999年第4期290-292,共3页
Chinese Journal of Ophthalmology
关键词
外伤国性
视网膜嵌顿
视网膜脱离
眼外科手术
Traumatic retinal incarcerationRetinal detachmentVitrectomyRelaxed retinotomy
