全氟化碳液在复杂性玻璃体视网膜手术中的应用

Use of perflurocarbon liquids in vitrectomy for complicated vitroretinopathy

目的:探讨全氟化碳液在复杂性玻璃体视网膜手术中的应用效果。方法:对18例(18眼)复杂性增殖性玻璃体视网膜病变患者进行玻璃体视网膜手术,在玻璃体切割中、剥膜过程中或剥膜后少量多次注入全氟化碳液,打开视网膜漏斗,稳定视网膜。再行眼内激光或冷凝,联合膨胀气体或硅油填充。术后复查视力,观察视网膜复位情况。结果:视网膜解剖复位率达77.8%。其中视力达0.05以上者10例,较术前明显改善(P<0.01)。全氟化碳液残留2例,继发性青光眼1例。结论:全氟化碳液作为"流动的液体操作工具"应用于复杂的玻璃体切除手术中可方便手术操作,提高手术效果。

Objective：To investigate the role of perflurocarbon liquids（PFCLs）in vitrectomy for complicated vitroretinopathy.Methods：Eighteen cases（18 eyes） of complicated proliferative vitroretinopathy were treated by vitrectomy.A small quantity of PFCLs was used during and after retinal membrane peeling,retinal funnels opening and posterior retina stabilization.Edolaser photocoagulation was performed and C3F8 or silicon oil was filled.Visual acuity and retinal reattachment condition were examined after the operation.Results：The rate of retinal reattachment reached 77.8%.The final visual acuity of 10 cases reached 0.05 or above.The effect was obvious（P0.01）.A small amount of PFLCs retained in 2 cases（11.1%）and secondary glaucoma occurred in 1 case.Conclusions：As a hydrodynamic operative tool,PFCLs can be used in vitrectomy for complicated vitroretinopathy to facilitate the operation and improve the outcome.