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摘要:
目的 探讨视网膜脱离手术的方法选择并分析其疗效。 方法 视网膜脱离68例患者70只眼, 根据视网膜脱离类型和程度行不同的视网膜复位手术, 分析手术前后视力变化、视网膜复位情况及并发症。 结果 一次手术复位者62只眼(其中19只眼硅油填充下视网膜在位), 视网膜复位率88.6%;6只眼再次手术, 最终视网膜复位率为97.1%。术前最佳矫正视力数指以下者46只眼, 占65.7%;术后平均随诊(5.3±2.2)个月, 术后最佳矫正视力大于0.05者58只眼, 占82.9%。手术前后视力比较差异有统计学意义(χ2=58.26, P=0.000)。术后并发症分别表现为疼痛1只眼, 视网膜前局限性增生3只眼, 并发白内障5只眼, 术后一过性高眼压8只眼。 结论 及时行合理的视网膜脱离复位手术是确保视网膜解剖复位、恢复视功能的有效方法。 Abstract:Objective To explore the effectiveness and complications of retinal detachment surgery. Methods A total of 68 patients (70 eyes) received different retinal reattachment surgeries based on the retinal detachment type and severity. Best corrected visual acuity (BCVA), retinal attachment condition, and complications were observed before and after the surgery. Results Among these 70 eyes, 62 eyes (19 eyes with silicone tamponade) were reattached completely to the first surgery. The reattachment rate was 88.6%. Six eyes received a second and/or third surgery, and the final retinal reattachement rate was 97.1%. The preoperative BVCA was less than finger count in 46 eyes (65.7%). After (5.3±2.2) months of follow-up, the postoperative BVCA was more than 0.05 in 58 eyes (82.9%). Comparison of the visual acuity showed significant difference before and after surgery (χ2=58.26, P=0.000). The postoperative complications included sore eye (n=1), focal preretinal proliferation (n=3), cataract (n=5), and secondary glaucoma (n=8). Conclusion Timely and reasonable reattachment surgeries can effectively treat retinal detachment and improve vision. -
Key words:
- retinal detachment /
- surgery
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[1] Lean J, Stern WH, Irvine AR, et al. Classification of proliferative vitreoretinopathy used in the silicone study[J]. Ophthalmology, 1989, 96:765-771. doi: 10.1016/S0161-6420(89)32821-1 [2] Gariano RF, Kim CH. Evaluation and management of suspected retinal detachment[J]. Am Fam Physician, 2004, 69:1691-1698. http://europepmc.org/abstract/MED/15086041 [3] 闵寒毅, 毛进, 高斐, 等.无放液最小量巩膜外加压术治疗孔源性视网膜脱离[J].协和医学杂志, 2011, 2:357-361. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=xhyx201104014 [4] Shibata M, Oshitari T, Kajita F, et al. Development of macular holes after rhegmatogenous retinal detachment repair in Japanese patients[J]. J Ophthalmol, 2012, 2012:740591. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=Doaj000001302477 [5] Kusaka S, Toshino A, Ohashi Y, et al. Long-term visual recovery after scleral buckling for macula-off retinal detachments[J]. Jpn J Ophthalmol, 1998, 42:218-222. doi: 10.1016/S0021-5155(97)00136-6 [6] Burton TC. Recovery of visual acuity after retinal detachment involving the macula[J]. Trans Am Ophthalmol Soc, 1982, 80:475-497. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=PubMed000001834349 [7] Lee JE. Two-step surgery for retinal detachment caused by myopic macular hole[J]. Clin Ophthalmol, 2012, 6:1771-1774. http://www.wanfangdata.com.cn/details/detail.do?_type=perio&id=Doaj000002182932 [8] Lane JI, Watson RE Jr, Witte RJ, et al. Retinal detachment:imaging of surgical treatments and complications[J]. Radiographics, 2003, 23:983-994. doi: 10.1148/rg.234025163 [9] Yorston D, Jalali S. Retinal detachment in developing countries[J]. Eye, 2002, 16:353-358. doi: 10.1038/sj.eye.6700188 [10] Chung SE, Kang SW, Yi CH. A developmental mechanism of spontaneous reattachment in rhegmatogenous retinal detachment[J]. Korean J Ophthalmol, 2012; 26:135-138. doi: 10.3341/kjo.2012.26.2.135 -
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