充气视网膜固定术治疗上方视网膜脱离的疗效

The efficiency of pneumatic retinopexy in the treatment of superior rhegmatogenous retinal detach-ment

目的观察充气视网膜固定术治疗上方孔源性视网膜脱离（RRD）的疗效。方法回顾性分析21例（21眼）上方局限性RRD行充气视网膜固定术的临床资料。分析术后视网膜解剖复位率和手术并发症。随访时间6～9个月。结果一次手术视网膜复位17眼，手术成功率为80．9％。术前术后散光比较差异无统计学意义，术后视力较术前好（t=3．53，P〈0．05），其差异有统计学意义。结论充气视网膜固定术治疗上方RRD一次手术复位率高，手术操作简便、并发症少，再次手术效果不受影响。可以作为部分RRD的首选治疗。

Objective To observe the efficacy of pneumatic retinopexy in the treatment of superior rhegmatogenous retinal detachment （RRD） . Methods A retrospective analysis of 21 eyes of 21 patients with superior limited RRD treated by pneumatic retinopexy. Observational items included postoperative reti- nal reattachment rate, operational complications, postoperative visual acuity and letinal proliferation. The follow-up was 6 - 9 months. Results The retinal reattachment was achieved by one surgery in 17 eyes, the success rate of operation was 80.9%. Postoperative astigmatism was not statistically significantly different from preoperative astigmatism. The visual acuity of postoperation was improved compared with that of preoper- ation （ t = 3.53, P 〈 0.05 ）. Conclusion The reattachment rate of pneumatic retinopexy is high in the treatment of superior RRD. The operation is simple with less complications, and less influence on prognosis of second operation. Pneumatic retinopexy can be used as the first choice for treatment of a part of RRD.