孔源性视网膜脱离的最小量视网膜手术

Minimized retinal surgery for primary rhegmatogenous retinal detachment

目的探讨视网膜脱离最小量手术（单纯巩膜外加压＋冷凝术）治疗孔源性视网膜脱离的临床效果。方法对145例145眼孔源性视网膜脱离患者行视网膜脱离最小量手术。结果138例138眼1次手术后视网膜复位成功,成功率95.2%。失败7眼,其中6眼再次手术后复位,另1眼行玻璃体切割手术后视网膜复位。术后第1天视网膜下液完全吸收者102眼（70.3%）,30眼术后2~3 d完全吸收,4眼术后3~7 d吸收,2眼术后15 d以后吸收。随访3个月,视力均较术前提高。结论在双目间接眼底镜下实施最小量视网膜脱离手术是治疗绝大部分孔源性视网膜脱离的较好方法。

Objective To evaluate the clinical effect of the minimized retinal surgery, buckling and cryocoagulation with nondrainage. Methods 145 patients with rhegmatogenous retinal detachment accepted buckling and cryocoagulation surgery. Results 138 eyes got reattachment of the retina at the first time, and the achievement ratio was 95.2%. In 7 eyes of failure,6 got reattaehment of the retina by minimized retinal surgery, and 1 by vitrectomy. Subretinal fluid of 102 eyes was completely absorbed on the first day of postoperation, 30 eyes in 2 to 3 days, 4 eyes in 3 to 7 days, and 2 eyes in more than 15 days. Followed-up for 3 months, all the patients got a better visual acuity and none got serious complications such as superchoroid hemorrhage and infection. Conclusion Minimized retinal surgery is a better way to treat most rhegmatogenous retinal detachments because of short operation time, low cost, light reaction and better visual function recovery.