复发性视网膜脱离的玻璃体手术治疗

VITREORETINAL SURGERY FOR THE TREATMENT OF RECURRENT DE-TACHMENT OF RETINA

目的:探讨玻璃体手术治疗伴明显增殖性玻璃体视网膜病变(PVR)的复发性视网膜脱离。方法:复习1987年9月至1994年11月我院采用玻璃体切除术治疗的伴明显PVR复发性视网膜脱离患者47例。结果:出院时痊愈30例(63.8%),好转9例(19.1%),失败8例(17.1%)。结论:手术操作除类似常规玻璃体切除外,还应注意患眼因曾手术引起的组织学改变。

PURPOSE: To search for the treatment of recurrent detachment of retina with severe proliferative vitreoretinopathy(PVR) by vitreoretinal surgery. METHODS: Fourty-seven cases of recurrent detachment of retina with severe PVR treated by vitrectomy between September 1987 and November 1994 were systematically reviewed. RESULTS: On discharge from the hospital, the retina was totally reattached in 30(63.8%) of the 47 cases, partially reattached in 9 cases(19.1%) and still detached in 8 cases (17.1%). CONCLUSIONS: In addition to using the surgical procedures similar to the conventional vitreoretinal surgery, the histopathological changes induced by the previous operation in sick eyes should be paid attention to.