合并脉络膜脱离的孔源性视网膜脱离临床特点及手术疗效分析

Clinical characteristics of retinal detachment associated with choroidal detachment and surgical treatment in retinal detachment associated with choroidal detachment

目的:分析合并脉络膜脱离的裂孔性视网膜脱离的临床特点及手术治疗效果。方法:合并脉络膜脱离的裂孔性视网膜脱离患者64例64眼,26例行巩膜扣带术,38例行玻璃体视网膜手术,术中均不行巩膜外冷凝,观察眼部表现及手术复位率等情况,分析合并脉络膜脱离的裂孔性视网膜脱离临床特点。结果:本组病例>-6.00D高度近视占总病例数的41%。64例合并脉络膜脱离的孔源性视网膜脱离均有葡萄膜炎反应,眼压2.00～8.00mmHg;26例行巩膜扣带术,19例视网膜复位,复位率73%,行玻璃体视网膜手术38例,32例视网膜复位,一次手术复位率84%。结论:合并脉络膜脱离的孔源性视网膜脱离高度近视眼、人工晶状体眼及无晶状体眼多发,视网膜光凝替代术中巩膜外冷凝可能提高视网膜复位率及减少术后复发率。

AIM：To analyze the clinical characteristics of retinal detachment associated with choroidal detachment and surgical treatment effectiveness of retinal detachment associated with choroidal detachment. ·METHODS：Six-four eyes of 64 patients with retinal detachment associated with choroidal detachment were enrolled. 26 eyes received scleral buckling;38 eyes re-ceived vitrectomy;No eye received cryocoagulation. The manifestations of those eyes and retinal reattachment rate was observed,and the clinical characteristics of retinal detachment associated with choroidal detachment were analyzed.·RESULTS：Fourty-one perent patients had high myopia（〉-6.00D） . Tyndall sign and iris uveitis sign occured in all of those eyes. The percentage of retinal reattachment of patients who received scleral buckling was 73%,and of patients who received vitrectomy was 84%. ·CONCLUSION：High myopia eyes,Intraocular Lenses eyes and aphakia eyes were risk factors of retinal detachment associated with choroidal detachment. Laser photocoagulation after surgery instead of cryotherapy during surgery may enhance the percentage of retinal reattachment rate and reduce the risk of retinal detachment recurrence.