实用医学杂志Issue(18)：3042-3045,4.DOI:10.3969/j.issn.1006-5725.2015.18.034
视网膜冷冻联合球内注气术选择性治疗原发性孔源性视网膜脱离
Treatment of primary rhegmatogenous retinaldetachment with cryopexy in combination with intravitravitreal injection of expending gas
摘要
Abstract
Objective To demonstrate the visual results and complications of an cryopexy in combination with intravitreal injection of expending gas in the therapy of primary rhegmatogenous retinaldetachment (RRD). Methods Thirty-two cases (32 eyes) were retrospectively reviewed in this study. The RRD diagnosis was confirmed by best corrected visual acuity,slit-lamp microscope,indirected ophthalmoscope and Goldman three-mirror contact lens. All patients had undergone cryopexy with intravitreal gas injection and assisted by correct body position. Patients were followed for 6 to 24 months. Post-operative BCVA,final anatomical outcome, complications and failed cases were analyzed. Results The reattachment rate of cryopexy with intravitreal gas injection was 81%(26/32 eyes). Four eyes required additional scleral buckling. Two eyes needed additional vitrectomy with intravitreal injection of expending gas (SF6).Final retinal reattachment was achieved in all 32 subjects (100%). Postoperative BCVA was significantly improved (P < 0.01). Conclusion Cryopexy with intravitreal gas injection is a simple,less trauma, lower cost and effective surgery for primary rhegmatogenous retinaldetachment.关键词
孔源性视网膜脱离/冷冻/球内注气Key words
Rhegmatogenous retinaldetachment/Cryopexy/Intravitreal gas injection引用本文复制引用
薛黎萍,吴敏,胡敏,孙晓梅,彭亚力,徐文荣,杨静菲..视网膜冷冻联合球内注气术选择性治疗原发性孔源性视网膜脱离[J].实用医学杂志,2015,(18):3042-3045,4.基金项目
云南省科技厅昆明医科大学联合专项（编号2013FZ281）；云南省卫生系统学科带头人专项基金 （）
