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显微玻璃体视网膜手术联合硅油填充治疗穿通伤性视网膜脱离
引用本文:胡土荣,陈钦元.显微玻璃体视网膜手术联合硅油填充治疗穿通伤性视网膜脱离[J].中华眼科杂志,1997,33(5):347-349.
作者姓名:胡土荣  陈钦元
作者单位:上海医科大学附属眼耳鼻喉科医院眼科
摘    要:目的评价显微玻璃体视网膜手术(microvitreo-retinalsurgery,V-R术)、视网膜切开、硅油填充对穿通伤性视网膜脱离(retinaldetachment,RD)的治疗价值和效果。方法用V-R术结合视网膜切开及硅油填充治疗64例穿通性RD患者。结果出院时视网膜复位者58例(90.6%),其中34例随访3~15个月,视网膜保持平复者占73.5%;视力在数指以上者22只眼(64.7%),≥0.05者6只眼(17.6%)。结论该方法能治愈用常规显微V-R术难以治愈的患者,其中占1/6的患者达到脱盲。

关 键 词:眼损伤.穿透性  视网膜脱离  硅油

Micro vitreoretinal surgery and silicone oil for treatment of perforating injuries with retinal detachments
T Hu,Q Chen,W Wang.Micro vitreoretinal surgery and silicone oil for treatment of perforating injuries with retinal detachments[J].Chinese Journal of Ophthalmology,1997,33(5):347-349.
Authors:T Hu  Q Chen  W Wang
Institution:Department of Ophthalmology, Eye & ENT Hospital, Shanghai Medical University.
Abstract:OBJECTIVE: To evaluate the therapeutic value and effects of micro-vitreoretinal surgery (M-VRS), retinotomy and silicone oil (SiO) for perforating injuries with retinal detachment (PIRD). METHODS: 64 cases of PIRD were treated with M-VRS, retinotomies and SiO. RESULTS: The retina was totally reattached in 58 cases or a rate of 90.6%, which dropped to 73.5% in 3-15 months postoperatively. Visual acuity of 64.7% was counting fingers or better, and 17.6% > or = 0.05. CONCLUSIONS: This method can cure PIRD that were not cured with routine M-VRS, and 1/6 cases were out of blindness.
Keywords:Eye injuries  penetrating    Retinal detachment    Silicone oil
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