改良式巩膜扣带术治疗孔源性视网膜脱离

Modified scleral buckling for rhegmatogenous retinal detachment

目的探讨改良式巩膜扣带术联合玻璃体腔注气治疗孔源性视网膜脱离的效果及并发症。方法回顾性病例分析。收集自2013年1月至2014年5月在我院住院治疗的孔源性视网膜脱离17例（17眼），行改良式巩膜扣带术联合玻璃体腔注气术，随访6～12个月，平均（8．85±1．87）月。观察术后视网膜复位情况、视力、眼压及并发症情况。结果一次手术视网膜复位16例，占94．12％。术后视力：视力改善者14例，占82．35％。术后并发症：高眼压5例，占29．41％，用降眼压药物控制后均眼压正常。新裂孔形成1例，占5．88％。玻璃体浑浊8例，占47．06％。结论改良式巩膜扣带术联合玻璃体腔注气是治疗孔源性视网膜脱离的一种安全、有效的方法。

Objective To analyze the effect and complications of modified scleral buckling combined with intravitreal gas injection for rhegmatogenous retinal detachment. Methods A retrospective case study. Clinical data of 17 eyes of 17 patients treated with modified scleral buckling combined with intravitreal gas injection from January 2013 to May 2014 in Hebei Provincial Eye Hospital were recruited. The mean follow-up time was （8. 85± 1. 87 ） months with range from 6 to 12 months. The retinal reattachment rate, best corrected visual acuity （BCVA） , intraocular pressure （lOP） and complications were analyzed. Results The retina was reattached in 16 patients and the reattachment rate was 94.12%. The postoperative BCVA was improved in 14 cases, which accounted for 82. 35%. The postoperative complications included high intraocular pressure in 5 eyes of 5 patients （ 29.41% ） , new retinal hole in 1 eye of 1 patient （5.88 % ）, and vitreous opacity in 8 eyes of 8 patients （47.06%）. Conclusion Modified scleral buckling combined with intravitreal gas injection is effective and safe for rhegmatogenous retinal detanehment.