全氟丙烷球内注射联合直视下冷凝治疗上方巨大裂孔性视网膜脱离的疗效观察

目的:探讨全氟丙烷(perflutren,C₃F₈)球内注射联合经巩膜直视下冷凝治疗上方巨大裂孔性视网膜脱离(retinal detachment,RD)的疗效。方法:对23例(24眼)上方巨大裂孔性RD患者,在双目间接检眼镜下冷凝裂孔并进行外加压,玻璃体腔注入C₃F₈,并根据RD的具体情况进行环扎、放液。结果:21眼一次性手术后视网膜复位,2眼二次手术后复位成功,另1眼行玻璃体切割术。术后视力较术前明显提高(P<0.05)。结论:C₃F₈球内注射联合经巩膜直视下冷凝治疗上方巨大裂孔性RD,创伤小,效果好,值得推广应用。

Effect of perflutren injection and cryosurgery under binocular indirect ophthalmoscope in treatment of rhegmatogenous retinal detachment with giant retinal tears

Objective:To observe the effect of perflutren(C3F8 ) injection and cryosurgery using binocular indirect ophthalmoscope in treatment of rhegmatogenous retinal detachment(RRD) with giant retinal tears.Methods:Twenty-three patients (24 eyes) with RRD received cryosurgery under the binocular indirect ophthalmoscope,and C3F8 was injected into the vitreous cavity;scleral compressing,scleral buckling and subretinal fluid releasing were performed accordingly.Results:Twenty-one eyes had retinal reattachment after on...