巩膜外加压联合玻璃体腔注气术治疗黄斑裂孔合并周边裂孔性视网膜脱离

Episcleral buckling combined with intravitreal injection of pure C_3F_8 for the treatment of retinal detachment with macular hole and periphery hole

目的观察巩膜外加压联合玻璃体腔注气术治疗黄斑裂孔合并周边裂孔性视网膜脱离的疗效。方法回顾性分析2004年1月至2009年12月因黄斑裂孔合并周边裂孔性视网膜脱离在我院就诊的42例患者,共42只眼,行巩膜外加压联合玻璃体腔注气术,手术后随诊1～12个月,观察术后视网膜复位、术后视力及并发症发生情况。结果 42只眼中31只眼(73.8%)治愈,7只眼(16.7%)好转,4只眼(9.5%)未愈。发生大于两个象限的视网膜脱离行玻璃体切割加硅油填充术。在治愈的31只眼中,其中2只眼发生高眼压,通过降眼压处理恢复正常,未发生其他并发症。结论巩膜外加压联合玻璃体腔注气术治疗黄斑裂孔合并周边裂孔性视网膜脱离,具有安全、有效、操作简单等特点,可作为治疗黄斑裂孔合并周边裂孔性视网膜脱离患者的首选方法。

Objective To observe the effects of episcleral buckling combined with Intravitreal injection of pure C3F8 on retinal detachment with macular hole and periphery hole.Methods 42 eyes from 42 patients underwent episcleral buckling combined with Intravitreal injection of pure C3F8 from Jan, 2004 to Dec, 2009. Retinal reattachment, postoperative visual acuity and complications were observed.Results Forty-two cases （42 eyes） were followed up for 1～12 months after operation. The retinal hole was repaired and retinal was reattached in 31 eyes, visual acuity was improved in 38 eyes, and intraocular pressure elevation was occurred in 2 eyes.Conclusion The use of episcleral buckling combined with Intravitreal injection of pure C3F8 is a safe and effective method that can be considered as a primary treatment for treating retinal detachment with macular hole and periphery hole.