维吾尔族裂孔性视网膜脱离57例的治疗

Treatment of rhegmatogenous retinal detachment in Uigur 57 cases

目的:探讨维吾尔族裂孔性视网膜脱离的特点、治疗方法及疗效。方法:对57例(58眼)根据视网膜裂孔的大小、分布范围、数目、分级而采用不同术式,冷凝、单纯外加压3眼;冷凝、环扎、外加压22眼;冷凝、环扎、外加压、玻璃体注入500mL/LSF6或空气17眼;冷凝、环扎、外加压术后补激光3眼;冷凝、环扎、玻璃体切割13眼(注硅油6眼,注气7眼)。结果:本组57例,男性占70.1%,高度近视占41.4%,远视眼占39.6%。裂孔在1个象限占73.5%,裂孔中以圆孔多见,占61.5%,牵拉孔占29.6%,黄斑裂孔占0.5%,锯齿缘截离占8.6%,未发现1例巨大裂孔,另有5例术前未发现裂孔者均在术中找到裂孔。58眼中一次手术成功55眼,占94.8%,复发3眼,再次手术复位,术后视力明显提高。结论:裂孔性视网膜脱离手术前是否发现全部裂孔是手术成功的关键,术式应根据裂孔的大小、数目、形态、位置、分布的范围、周边视网膜是否存在变性及玻璃体牵拉膜形成的情况而决定。

AIM: To probe the characteristics and therapeutic effect of rhegmatogenous re tinal detachment in Uigur nationality. · METHODS: A total of 57 cases (58 eyes) underwent different operations accordi ng to the size of retina split, distribution scope, number and grade: 3 eyes wer e condensated combined with extra pressure; 22 eyes were condensed with scleral buckling and extra pressure; 17 eyes were condensed combined with scleral buckli ng, extra pressure and vitreous body with 500mL/L SF6 or air; 3 eyes were conden sed combined with scleral buckling, extra pressure and supplementary laser; and 13 eyes were condensed combined with scleral buckling and vitreous body incision , among which 6 eyes were injected with silicone oil, and 7 eyes with air. · RESULTS: Among the 57 cases, there are male patients 70.1%, high degree myopi a 41.1%, hypermetropia 39.6%, retinal split in a quadrant 73.5%, round hole 61.5 %, traction hole 29.6%, macular hole 0.5% and ora serrate laceration 8.6%. No hu ge hole was discovered. Holes were found intraoperatively in 5 cases in which ho les had not been found before orperation. The first operation was successful in 55 eyes (94.8%). The visual acuities improved greatly in the other 3 eyes after second surgery. · CONCLUSION: The key of retinal detachment surgery is whether all holes can be discovered before operation. The operative methods should be arranged according to the size, number, shape, location and distribution of retina splits, lemma's condition of vitreous body and whether degeneration occurs on peripneral parts of retina. ·