高度近视眼黄斑裂孔视网膜脱离的手术治疗

Surgical treatment for the retinal detachment due to macular hole in high myopia

目的探讨治疗高度近视眼黄斑裂孔视网膜脱离手术的方法。方法对172只眼(169例)高度近视眼黄斑裂孔视网膜脱离行玻璃体切除联合眼内光凝黄斑裂孔、12%C3F8填充术。术后取面向下体位两周。结果172只眼黄斑裂孔闭合、视网膜复位。1只眼在气液交换过程中出现脉络膜大出血而作硅油填充术。172只眼术后视力均有不同程度的提高。结论玻璃体切除联合眼内光凝黄斑裂孔、12%C3F8填充术是治疗高度近视眼黄斑裂孔视网膜脱离和提高手术成功率的安全有效的方法。

Objective To explore the methodes of surgical treatment of retinal detachment due to macular hole in high myopia. Methods 172 eyes of 169 high myopic patients with retinal detachment due to macular hole under went vitrectomy combined with photocoagulation and the tamping of 12% C3F8. Strict prone position was conducted at least 2 weeks postoperatively. Results Macular hole closed and retina reattached in 172 eyes. Visual acuity was increased in 172 eyes. Conclusions Vitrectomy combined with photocoagulation and tamping of 12%C3F8 is a safe and effective method in treating retinal detachment due to macular hole in high myopia.