非接触广角镜下25G微创玻璃体切割系统联合经巩膜外加压术治疗孔源性视网膜脱离

Scleral buckling combined with 25G pars plana vitrectomy under resight non-contract wide-angle lens for rhegmatogenous retinal detachment

目的探讨非接触广角镜下25G微创玻璃体切割系统联合经巩膜外加压术治疗孔源性视网膜脱离的临床疗效。方法回顾分析我院2015年10月至2017年09月期间,因孔源性视网膜脱离入住我院采用非接触广角镜下25G微创玻璃体切割系统联合经巩膜外加压术治疗的10例患者10只眼,术前术后视力变化、视网膜复位及并发症情况。结果采用非接触广角镜下25G微创玻璃体切割系统联合经巩膜外加压术的10只眼,术前最佳矫正视力(best corrected visual acuity,BCVA)<0.1为8只眼,>0.1为2只眼,术后平均随诊3个月,术后最佳矫正视力<0.1为3只眼,>0.1为7只眼。术后视网膜均一次复位,术中联合环扎1例。结论非接触广角镜下25G微创玻璃体切割系统联合经巩膜外加压术治疗孔源性视网膜脱离的有效方法。

Objetive To explore the efficiency and complications of scleral buckling combined with 25G Pars Plana vitrectomy under resight non-contract wide-angle lens for rhegmatogenous retinal detachment. Methods Author reviewed records of 10 patients （lOeyes） who received seleral buckling combined with 25G Pars Plana vitrectomy under resight non-contract wide-angle lens for rhegmatogenous retinal detachment in our hospital between October 2015 and September 2017.Best corrected visual acuity（BCVA）,retina attachment condition,and complications were observed before and after surgery. Results Among these 10 eyes, the preoperative BCVA was 〈0.1 in 8 eyes , and 〉0.1 in 2 eyes. After 3 months＇ follow-up, the postoperative BCVA was 〈0.1 in 3 eyes,〉0.1 in 7 eyes. The success rate was 100% Conclusion Scleral buckling combined with 25G Pars Plana vitrectomy under resight non-contract wide-angle lens is an effective method to treat rhegmatogenousretinal detachment.