冯俊才, 杨丽霞, 杨朝霞, 杨元璋
Abstract
目的 观察巩膜扣带术治疗原发性(孔源性)非增生性视网膜脱离的疗效.方法36例(36眼)行巩膜扣带术.均按我们提出的视网膜脱离手术的3项要求(准确的裂孔定位,适度的冷凝和恰当的放置外垫压物)进行手术.术后随访,观察视网膜复位情况,视力、眼压及并发症.结果视网膜复位30眼(83.33%),失败6眼(16.67%),失败原因:1眼发生鱼嘴现象,3眼裂孔封闭不良,2眼垫压偏位.术后视力提高33眼,不变2眼,下降1眼.眼压升高3眼,服药后恢复正常.垫压物松动,环扎带移位及冷凝过度各1眼.结论巩膜扣带术治疗非增生性原发性视网膜脱离简单可靠.应用间接检眼镜直视下手术可大大提高手术成功率。
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目的 观察巩膜扣带术治疗原发性(孔源性)非增生性视网膜脱离的疗效.方法36例(36眼)行巩膜扣带术.均按我们提出的视网膜脱离手术的3项要求(准确的裂孔定位,适度的冷凝和恰当的放置外垫压物)进行手术.术后随访,观察视网膜复位情况,视力、眼压及并发症.结果视网膜复位30眼(83.33%),失败6眼(16.67%),失败原因:1眼发生鱼嘴现象,3眼裂孔封闭不良,2眼垫压偏位.术后视力提高33眼,不变2眼,下降1眼.眼压升高3眼,服药后恢复正常.垫压物松动,环扎带移位及冷凝过度各1眼.结论巩膜扣带术治疗非增生性原发性视网膜脱离简单可靠.应用间接检眼镜直视下手术可大大提高手术成功率。
Key concepts: Scleral buckle, Retinal detachment, Buckle, Ophthalmology, Medicine, Scleral buckling, Retinal, Materials science