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不放液的巩膜外垫压治疗孔源性视网膜脱离的疗效

张桂 李中凯 杨志强 刘军

国际眼科杂志2017,Vol.17Issue(12):2331-2334,4.
国际眼科杂志2017,Vol.17Issue(12):2331-2334,4.DOI:10.3980/j.issn.1672-5123.2017.12.36

不放液的巩膜外垫压治疗孔源性视网膜脱离的疗效

Clinical observation of scleral buckling with nondrainage of subretinal fluid in the treatment of rhegmatogenous retinal detachment

张桂 1李中凯 1杨志强 1刘军1

作者信息

  • 1. 462000 中国河南省漯河市,漯河医学高等专科学校第一附属医院眼科
  • 折叠

摘要

Abstract

·AIM:To investigate the clinical effect of scleral buckling with nondrainage of subretinal fluid in the treatment of rhegmatogenous retinal detachment.·METHODS: A total of 111 patients ( 113 eyes ) with rhegmatogenous retinal detachment in our hospital from January 2012 to January 2017 were retrospectively reviewed. All the patients were identified as fulfilling the criteria of rhegmatogenous retinal detachment. Localization and scleral cryotherapy of retinal breaks with binocular indirect ophthalmoscopy in all eyes were performed during the operations. Simple scleral pressure were performed in 98 eyes. Intravitreal injection of sterile air were performed in 15 eyes. Scleral cryotherapy were performed in all cases with retinal degeneration and breaks. Anterior chamber puncture were performed before ligation suture. The final retinal reattachment rate, best corrected vision acuity, intraocular pressure and complications were observed.·RESULTS: The mean follow-up period was 6mo after operation. The final retinal reattachment rate at 6mo was 97. 4%. There were 91 eyes (80. 5%) with improved visual acuity after operation. High intraocular pressure can be controlled after operation. Complications were occurred in 7 eyes in the operation, 3 eyes postoperatively.·CONCLUSION: The surgery of scleral buckling with nondrainage of subretinal fluid have few complications and is effective.

关键词

孔源性视网膜脱离/巩膜外垫压/不放液/巩膜外冷凝

Key words

rhegmatogenous retinal detachment/scleral buckling/nondrainage of subretinal fluid/scleral cryotherapy

引用本文复制引用

张桂,李中凯,杨志强,刘军..不放液的巩膜外垫压治疗孔源性视网膜脱离的疗效[J].国际眼科杂志,2017,17(12):2331-2334,4.

国际眼科杂志

OA北大核心CSTPCD

1672-5123

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