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巨大视网膜裂孔的手术疗法和预后
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作者 Ghosh Y.K. Banerjee S. +2 位作者 Savant V. a.k. tyagi 陈立军 《世界核心医学期刊文摘(眼科学分册)》 2005年第3期47-48,共2页
Objective. To report the management and outcome in retinal detachments associa ted with giant retinal tears (GRTs). Methods. Retrospective, case note analysis of patients treated between November 1991 and June 2002 at... Objective. To report the management and outcome in retinal detachments associa ted with giant retinal tears (GRTs). Methods. Retrospective, case note analysis of patients treated between November 1991 and June 2002 at a tertiary referral h ospital. Results. The case notes of 29 patients (24 males, 5 females) with a fol low up ranging from five months to 7 years were reviewed. In all, 25 eyes had r etinal detachments with macular involvement and 10 patients had myopia more than 6 D. All patients underwent vitrectomy. A total of 23 patients had heavy liquid and 16 had scleral explants; 28 patients had silicone oil and one had C3F8 tamp onade. Intraoperative complications included lens trauma and iatrogenic GRT. Six eyes had recurrent retinal detachment and needed multiple surgical procedures. At the last follow up, 25 patients had anatomically attached retinas. In all, 1 8 fellow eyes were treated prophylactically. Three patients had total retinal de tachment and marked PVR. The visual acuity improved in 20 eyes. Conclusion. GRTs are more common in patients with high myopia. With newer techniques of surgical treatment of GRTs, the anatomical and visual outcomes are more favourable. 展开更多
关键词 巨大视网膜裂孔 手术疗法 玻璃体切割术 高度近视 对侧眼 预防性治疗 玻璃体腔 黄斑部 晶体损伤 第三中心医院
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