摘要
目的:探讨玻璃体切除术治疗牵拉性视网膜脱离的方法和疗效。方法:各种病因导致的牵拉性视网膜脱离34例36眼,行玻璃体切除术治疗,术后观察视力、视网膜复位情况及手术并发症等,随访3-6(平均3.8)mo。结果:术后视网膜复位,视力有不同程度的提高者32眼(89%);术后3mo内视网膜再脱离4眼,其中2眼经再次手术后复位,2眼眼球萎缩未再手术。手术并发症主要有术中牵拉性裂孔、术中及术后玻璃体积血、术后高眼压、视网膜再脱离等。结论:玻璃体切除术是治疗牵拉性视网膜脱离的有效方法,尤其对于存在广泛固定牵拉、视网膜大范围脱离、玻璃体积血、合并严重的增殖性玻璃体视网膜病变的患者是唯一有效的手术方法。
AIM: To investigate the method and effect of vitrecto my surgery for treatment of traction retinal detachment (tRD). METHODS: Thirty-four tRD patients (36 eyes) received vitrectomy surgery. Visual acuity, situation of retinal reattachment and surgery complications were observed during the follow-up of 3-6mo (mean 3.8mo) after operation. RESULTS: The retina of 32 eyes (89%)were reattached .Their visual acuity was improved in different levels. Four eyes were re-detached within 3mo after operation. Among the 4 eyes, 2 eyes were repaired after another surgery and 2 eyes were atrophied. The main operation complication include tractional retinal tear, vitreous hemorrhages, hypertony and retinal redetachment. CONCLUSION: Vitrectomy surgery is an effective surgery to treat traction retinal detachment. This surgery is the only effective way to treat tRD with wide-ranging and fixed traction, extensive retinal detachment, vitreous hemorrhage and severe proliferative vitreoretinopathy (PVR), etc.
出处
《国际眼科杂志》
CAS
2005年第5期964-966,共3页
International Eye Science