巩膜扣带术治疗术前未发现裂孔视网膜脱离的临床疗效

The effect of scleral bucklingforretinal detachment with preoperatively undetected retinal breaks

目的观察巩膜扣带术治疗术前未发现裂孔视网膜脱离的疗效.方法回顾性分析从2015年6月至2016年6月在甘肃省人民医院眼科诊治的术前未发现裂孔的视网膜脱离患者18例(18只眼).其中7例患者行巩膜表面节段性外加压联合环扎术,7例行单纯外加压术,4例行单纯环扎术.6例患者行视网膜下液外引流.结果术后随访6~12个月,18例患者有2例未复位,余均复位良好,复位率88.9%.结论巩膜扣带术是治疗术前未发现裂孔视网膜脱离的有效方法.

Objective To evaluate the outcome of scleral buckling for the treatment of retinal detachment in patients without retinal breaks before surgery.Methods In this retrospective study,18 cases(18 eyes)of retinal detachment with undetectable breaks before the operation,from June 2015 to June 2016 in the Gansu Provincial Hospital,underwent scleral buckling combined with segmental pressure(7 cases),Segmental pressure(7 cases)and scleral buckling(4 cases).Subretinal fluid drainage was performed in 6 cases.Results All patientswere followed for at leastl2 months.Among 18 cases of retinal detachment with undetected breaks,16 cases reattachedsuccessfully and 2 cases failed to reattach.The success rate was 88.9%.Conclusions Scleralbuckle is safe and effective for retinal detachmentwith undetectable breaks before the operation.