玻璃体内空气填充治疗黄斑裂孔性视网膜脱离的远期疗效观察

Intraocular Air Tamponade for Retinal Detachment with Macular Hole:A Long term Follow up Stud

目的评价玻璃体内空气填充治疗黄斑裂孔性视网膜脱离的远期疗效及适应症。方法单纯性黄斑裂孔者仅行玻璃体内空气注入；合并其他部位裂孔者，先采用常规凝固方法将这些裂孔封闭，再行玻璃体内空气注入。以单针法行气液交换，空气注入量不少于１．５毫升。结果出院时，９２．９％病例术后解剖学复位，７８眼随访６月～８年，８眼复发，复发率１０．３％。结论绝大部分黄斑裂孔性视网膜脱离病例（约９０％）行玻璃体内空气注入能获治愈。

bjectiveTo evaluate the long term result and indications of intraocular air temponade in retinal detachment with macular hole.MethodsSimple macular hole cases were treated with air injection into vitreous cavity.Simultaneously present other tears were sealed with conventional coagulation method prior to air injection into vitreous cavity.Fluid/air exchange was performed with a single needle.the amonut of intraolar air injected was more than 1.5ml.ResultsOn discharge from the hospital,the retina was reattached in 92.9% of the cases.78 eyes were followed up for 6 months to 8 years,detachment recurred only in 8 eyes (10.3%).ConclusionMost of the retinal detachment with macular hole (approximatly 90%) could be cured with air injection into vitreous cavity.