眼内直视下巩膜外冷凝视网膜裂孔

Cryoretinopexy under light fiber illumination during vitreoretinal surgery

目的:观察玻璃体视网膜手术过程中导光纤维照明眼内直视下巩膜外冷凝视网膜裂孔的效果。方法:复杂视网膜脱离22例,行玻璃体切割,水气交换,导光纤维照明眼内直视下巩膜外冷凝视网膜裂孔,眼内填充硅油14例,全氟丙烷8例。其中8例结合巩膜环扎。结果:术后随访3个月至1年,裂孔封闭,视网膜复位20例。手术成功率为90.9%。结论:导光纤维照明眼内直视下巩膜外冷凝视网膜裂孔定位准确,效果肯定。

Objective：To observe the clinic effectiveness of cryoretinopexy under light fiber illumination during vitreoretinal surgery. Methods： Twenty-two patients with complex retinal detachment underwent vitrectomy, fluid-air exchange, cryoretinopexy under light fiber illumination. Postoperative vitreous cavity tamponade was accomplished with silicone oil in 14 cases, perfluoropropane gas in 8 cases, 8 cases combined with sclera encircling. Results： Postoperative follow-up ranged 3 months to 1 year, retinal tear or hole closed and retina reattached in 20 cases. The success rate of operation was 90.9%. Conclusion ： Cryoretinopexy under light fiber illumination during vitreoretinal surgery positioning is easy and accurate and the effect is definite.