玻璃体切割治疗玻璃体视网膜病变的临床观察

Clinical Observe on The Treatment of Vitreoretinopathy by Vitrectomy

目的:探讨应用玻璃体切除的手术方法治疗玻璃体视网膜病变疗效进行评价。方法:对60例66 只眼的玻璃体视网膜病变进行了巩膜外环扎、硅胶外垫压、玻璃体切除、视网膜前膜分离、切除、视网膜松解、切开、切除、过氧化碳液注入、眼内放液及硅油充填等方法治疗,观察治疗效果。结果:治愈54只眼,成功率 90％;好转5只眼,占8．33％;无效1只眼,占1．67％。结论:运用玻璃体视网膜显微手术对玻璃体视网膜病变认识和处理能力的提高,可使大部分严重的玻璃体视网膜病变手术成功率明显提高。

Objective： To explore and evaluate the vitrectomy on treatmg vltreoretmopamy, Methods： 60 cases （66 eyes） with vitreoretinopathy were applied the scleral encircling operation, silicon cushion, vitrectomy, preretinal membrane peeling and cutting, retina untying retinectomy, retinotomy, injection of carbon peroxide, leakage of ocular fluid, and silicon oil fill. Results： 54 eyes were cured, success rate was 90 % ; 5 eyes were improved （8.33 % ）, 1 eye were ineffective （1,67 96 ）. Conclusion：The vitrectomy is a micro- surgical technique on treating vitreoretinopathy, many serious cases can be cured successfully.