最小剂量手术方法治疗裂孔源性视网膜脱离的疗效

Research of minimal dose surgery in the treatment of rhegmatogenous retinal detachment

目的：探讨最小剂量手术方法治疗裂孔源性视网膜脱离的效果。方法：选取2014-01/2016-02在我院治疗的裂孔源性视网膜脱离患者89例102眼,均采用单纯巩膜外垫压联合冷凝手术,术中不放液,观察治疗效果。结果：术后视网膜首次复位84眼（82.4%）,二次复位10眼（9.8%）;35眼（34.3%）术后矫正视力〈0.1,38眼（37.3%）0.1~0.3,29眼（28.4%）〉0.3,明显优于术前矫正视力,差异比较有统计学意义（P〈0.05）;术后并发症主要以角膜水肿（20.6%）和一过性高眼压（9.8%）为主,给予相应处理,均得到有效缓解。结论：最小剂量裂孔源性视网膜脱离手术治疗效果好,手术操作简单。

AIM：To investigate effects of minimal dose surgery in the treatment of rhegmatogenous retinal detachment. METHODS： A total of 102 eyes 89 cases of rhegmatogenous retinal detachment were selected fromJan. 2014 to Feb. 2016 in our hospital. All patients underwent simple scleral pad pressure combined with condensation surgery without liquid. The therapeutic effect was observed.RESULTS： The 84 eyes（ 82. 4%） were the first time reset after surgery. And 10 eyes（ 9. 8%） were the second time reset after surgery. The visual acuity of 35 eyes（ 34. 3%） after surgery were 〈0. 1,38 eyes（ 37. 3%） were0. 1- 0. 3,29 eyes（ 28. 4%） were 〉0. 3,better than the preoperative corrected visual acuity. The difference was statistically significant（ P〈0. 05）. The main postoperative complications were corneal edema（ 20. 6%） and temporary intraocular hypertension（ 9. 8%）, given the corresponding treatment. They had been effectively alleviated.CONCLUSION： The effect of minimumdose surgery for the treatment of rhegmatogenous retinal detachment is good,the surgery is simple.