期刊文献+

非接触广角观察系统辅助下内外路结合治疗孔源性视网膜脱离 被引量:7

Noncontact wide-angle viewing system aided scleral buckling surgery for rhegmatogenous retinal detachment
原文传递
导出
摘要 目的观察非接触广角观察系统及23G眼内照明辅助下的巩膜外垫压治疗孔源性视网膜脱离(RRD)的安全性及有效性。方法6例RRD患者6只眼接受非接触广角观察系统及23G眼内照明辅助下的巩膜外垫压手术。其中,男性2例2只眼;女性4例4只眼。年龄23~66岁,平均年龄51岁。视网膜脱离发生距手术时间为2~13d,平均时间为5.8d。增生性玻璃体视网膜病变(PVR)分级均为B级。眼压9~15mmHg(1mmHg=0.133kPa),平均眼压12mmHg。自睫状体平坦部插入23G导光纤维探头,在非接触广角观察系统辅助下检查全周视网膜并冷冻视网膜裂孔和变性区。在手术显微镜下完成巩膜切开引流视网膜下液及缝合硅胶带。手术结束时眼内注人无菌空气4只眼。手术后常规抗炎治疗,并随访观察不低于6个月。结果6只患眼手术后视网膜均完全复位,视力均提高。结膜愈合良好,眼压12~19mmHg,平均眼压15mmHg。均无手术中及手术后并发症。结论非接触广角观察系统及23G眼内照明辅助下的巩膜外垫压手术安全有效。与以往双目间接检眼镜辅助下的手术方式相比,手术成功率高,并发症少,手术时间短,患者手术中痛苦小。 Objective To create a new scleral buckling surgery using noncontact wide-angle viewing system and 23-gauge intraocular illumination for the treatment of rhegmatogenous retinal detachment (RRD), and to evaluate its safety and effectiveness. Methods A scieral buckling surgery using noncontact wide-angle viewing system and 23-gauge intraocular illumination was performed in 6 eyes of 6 patients with RRD, including 2 males and 4 females. The mean age was 51 years old with a range from 23 to 66 years old. Proliferative vitreoretinopathy (PVR) were diagnosed of grade B in all 6 eyes. Duration of retinal detachments until surgery was 5.8 days with a range from 2 to 13 days. The mean preoperative intraocular pressure (IOP) was 12 mmHg with a range from 9 to 15 mmHg (1 mmHg:0. 133 kPa). A 23-gauge optic fiber was used to provide an intraocular illumination. Fully examination of the ocular fundus and cryoretinopexy of retinal breaks was performed under a noncontact wide-angle viewing system. Subretinat fluid drainage through the sclerotomy and buckling procedure were performed under the operating microscope. Intravitreal injection of sterile air bubble was performed in 4 eyes. Antibiotic eye drops was applied in all eyes postoperatively, and all the eyes were followed up for at least 6 months. Results Retinal reattachment was achieved in all eyes, and the conjunctiva healed well. The best corrected visual acuity (BCVA) increased in all eyes. The mean postoperative IOP was 15 mmHg with a range from 12 to 19 mmHg. No complications were found intra and postoperatively. Conclusions This new scleral buckling surgery using noncontact wide-angle viewing system and 23-gauge intraocular illumination for RRD is safe and effective. Advantages such as higher successful rate, less complication, shorter operating time, and less discomfort of patients were showed comparing with the previous scleral buckling surgery using indirect ophthalmoscope.
作者 颜华
出处 《中华眼底病杂志》 CAS CSCD 北大核心 2014年第1期59-61,共3页 Chinese Journal of Ocular Fundus Diseases
关键词 视网膜脱离 外科学 巩膜扣带术 方法 外科手术 微创性 方法 Retinal detachment/surgery~ Scleral buckling/methods~ Surgical procedures,minimally invasive/methods
  • 相关文献

参考文献10

  • 1Schepens CL. Scleral buckling procedures[J].{H}TRANSACTIONS AMERICAN ACADEMY OF OPHTHALMOLOGY AND OTO-LARYNGOLOGY,1958.206-218.
  • 2Zhang Z,Liang X,Sun D. The scleral buckling of primary rhegmatogenous retinal detachment under the surgical microscope[J].Ophthalmic Surg Iasers Imaging,2011.96-101.
  • 3Raman SV,Smith M,Simcock PR. Use of the operating microscope for scleral buckling[J].{H}EYE,2007.103-104.
  • 4Ashrafzadeh MT,Schepens CL,Elzeneiny II. Aphakic and phakic retinal detachment Ⅰ preoperative findings[J].{H}Archives of Ophthalmology,1973.476-483.
  • 5Cousins S,Boniuk I,Okun E. Pseudophakic retinal detachments in the presence of various IOL types[J].{H}OPHTHALMOLOGY,1986.1198-1208.
  • 6Kita M,Fujii Y,Kawagoe N. Scleral buckling with a noncontact wide-angle viewing system in the management of retinal detachment with undetected retinal break:a case report[J].Clin Ophthalmol,2013.587-589.
  • 7Bahrani HM,Fazelat AA,Thomas M. Endophthalmitis in the era of small gauge transconjunctival sutureless vitrectomy-meta analysis and review of literature[J].{H}Seminars in Ophthalmology,2010.275-282.
  • 8Kunimoto DY,Kaiser RS,Wills Eye Retina Service. Incidence of endophthalmitis after 20-and 25-gauge vitrectomy[J].{H}OPHTHALMOLOGY,2007.2133-2137.
  • 9Aras C,Ucar D,Koytak A. Scleral buckling with a non-contact wide-angle viewing system[J].{H}OPHTHALMOLOGICA,2012.107-110.
  • 10Okamoto F,Okamoto C,Sakata N. Changes in corneal topography after 25-gauge transconjunctival sutureless vitrectomy versus after 20-gauge standard vitrectomy[J].{H}OPHTHALMOLOGY,2007.2138-2141.

同被引文献31

引证文献7

二级引证文献12

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部