外路显微手术治疗裂孔性视网膜脱离临床观察

目的 探讨在手术显微镜下外路手术治疗裂孔性视网膜脱离的方法及疗效.方法 对55例(55只眼)裂孔性视网膜脱离采用在手术显微镜下放视网膜下液,观察裂孔,巩膜外冷凝,巩膜外垫压,环扎,玻璃体注空气等方法进行治疗.结果 49例一次外路手术视网膜脱离完全复位,4例二次外路手术复位,最终复位率为96%.48例视力提高,5例无变化.结论 在手术显微镜下行外路手术治疗裂孔性视网膜脱离是一种简便、安全、有效的方法.

Abstract：

Objective To study the therapeutic effect of external-route microsurgery for retinal detachment.Methods In 55 patients(55 eyes)with retinal detachment,drainage ofsubretinal fluid,examination of locating the holes,sclera cryotherapy,the silics gel piece and/or buckling bands,and intraocular injection of gas were performed under surgical microscope.Results The retinal reattachment occurred in 49 eyes after the primary surgery and in 4 eyes after the secondary surgery,with the final rate of reattachment of 96%.The eyesight was improved in 48 eyes.Conclusions The external-route microsurgery for retinal detachment is simple,safe and effective.

External-route microsurgery for retinal detachment

Objective To study the therapeutic effect of external-route microsurgery for retinal detachment.Methods In 55 patients(55 eyes)with retinal detachment,drainage ofsubretinal fluid,examination of locating the holes,sclera cryotherapy,the silics gel piece and/or buckling bands,and intraocular injection of gas were performed under surgical microscope.Results The retinal reattachment occurred in 49 eyes after the primary surgery and in 4 eyes after the secondary surgery,with the final rate of reattachment of 96%.The eyesight was improved in 48 eyes.Conclusions The external-route microsurgery for retinal detachment is simple,safe and effective.