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玻璃体切除术治疗合并脉络膜脱离的孔源性视网膜脱离
引用本文:曾爱萍,曾水清,程扬,李晓青. 玻璃体切除术治疗合并脉络膜脱离的孔源性视网膜脱离[J]. 临床眼科杂志, 2007, 15(1): 31-33
作者姓名:曾爱萍  曾水清  程扬  李晓青
作者单位:430022,武汉,华中科技大学同济医学院附属协和医院眼科;430022,武汉,华中科技大学同济医学院附属协和医院眼科;430022,武汉,华中科技大学同济医学院附属协和医院眼科;430022,武汉,华中科技大学同济医学院附属协和医院眼科
摘    要:目的探讨玻璃体切除术治疗合并脉络膜脱离的孔源性视网膜脱离的临床疗效。方法对连续治疗的12例(12只眼)合并有脉络膜脱离的孔源性视网膜脱离眼,进行玻璃体切除联合长效气体或硅油填充治疗,所有患者术前、术后均用激素治疗,对视网膜的复位率进行评价。结果术后平均随访10.42个月。单次手术视网膜解剖复位率为91.67%(11/12),再次手术后视网膜解剖复位率为100%。结论玻璃体切除术是治疗合并脉络膜脱离的孔源性视网膜脱离的有效方法。

关 键 词:孔源性视网膜脱离  脉络膜脱离  玻璃体切除术
收稿时间:2006-09-25
修稿时间:2006-09-25

Pars plana vitrectomy for the treatment of rhegmatogenous retinal detachment combined with choroidal detachment
ZENG Ai-ping, ZENG Shui-qing, CHENG Yang,et al.. Pars plana vitrectomy for the treatment of rhegmatogenous retinal detachment combined with choroidal detachment[J]. Journal of Clinical Ophthalmology, 2007, 15(1): 31-33
Authors:ZENG Ai-ping   ZENG Shui-qing   CHENG Yang  et al.
Affiliation:Department of Ophthalmology, Union Hospital, Tonsil Medical College, Huazhong University of Science and Technology, Wuhan 430022, China
Abstract:Objective To study the treatment role of vitrectomy in eyes with combined rhegmatogenous retinal detachment (RRD) and choroidal detachment (CHD). Methods Twelve of 12 consecutive patients were studied. Pars plana vitrectomy with either gas or silicone tamponade were performed. All patients were treated with corticosteroids before surgery, and systemic corticosteroids were tapered after surgery. Retinal reattachment rate was measured. Results At mean follow-up of 10.42 months. Single-operation anatomic success was 91.67% (11/12) among these patients. After reoperation, anatomic success was 100%. Conclusion The results suggest that pars plana vitrectomy is an effective technique for managing RRD combined with CHD.
Keywords:Rhegmatogenous retinal detachment  Choroidal detachment  Vitrectomy
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