预防性治疗孔源性视网膜脱离的临床研究

TX Clinical study of preventive treatment for rhegmatogenous retinal detachment

目的比较和评价预防性治疗孔源性视网膜脱离（ｒｈｅｇｍａｔｏｇｅｎｏｕｓｒｅｔｉｎａｌｄｅｔａｃｈｍｅｎｔ，ＲＲＤ）临床效果。方法对１９８８年１０月到１９９６年７月预防性治疗ＲＲＤ的结果进行回顾性研究。结果２７０例患者近视眼占７０．７％。经预防性治疗后均未出现视网膜脱离，其中１６只眼经激光封孔失败后改行视网膜冷冻联合外加压术。经预防治疗后新裂孔出现为２３只眼（７．０４％），出现黄斑部视网膜前膜１３只眼（４．３２％）。术后视力不变及改善者占９３．５６％。结论预防治疗ＲＲＤ是一种有效、安全的方法。

ObjectiveTo compare and assess the clinical results of preventive treatment for the rhegmatogenous retinal detachment(RRD).MethodsThe prophylactic treatment results for the rhegmatogenous retinal detachment carried in our department during October,1988 to July,1996 were reviewed.Results213 eyes(70.7%) were myopic.All treated eyes had been remained stable without detachment.Among which,16 eyes were treated with retinal cryocoagulation combined with sclera buckles after failed to seal the retinal tears by argon laser.23 eyes(7.04%) of the treated eyes developed new holes.Macular pucker were found in 13 eyes(4.32%).The visual acuity was improved or stayed stable in 93.56% of all the treated patients.ConclusionPreventive treatment for rhegmatogenous retinal detachment may be an effective and safe means.