| 玻璃体手术治疗伴脉络膜脱离的孔源性视网膜脱离临床研究 |
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| 引用本文： | 张京京,韩方菊. 玻璃体手术治疗伴脉络膜脱离的孔源性视网膜脱离临床研究[J]. 山东大学耳鼻喉眼学报, 2014, 28(1): 70-72. DOI: 10.6040/j.issn.1673-3770.0.2013.207 |
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| 作者姓名： | 张京京 韩方菊 |
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| 作者单位： | 1．济南市第三人民医院眼科, 山东 济南 250101； 2.济南市第二人民医院 济南市眼科医院眼科， 山东 济南 250001 |
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| 摘 要： | 目的 评价玻璃体手术联合眼内填充硅油治疗合并脉络膜脱离的孔源性视网膜脱离的效果。方法 临床确诊的孔源性视网膜脱离合并脉络膜脱离的患者共21例(21眼)纳入研究。在非接触式广角镜下，患者均行闭合式玻璃体手术及硅油填充，部分患者联合晶状体手术。观察手术前后视力变化、眼压变化以及术后视网膜复位率等情况。结果 一次手术视网膜复位15眼(71.5%),多次手术最终视网膜复位19眼(90.5%)。最终视力>0.1者7眼(33.3%),手术后视力提高者共17眼(80.9%) 。术前眼压平均6.1mmHg，术后眼压平均14.8mmHg，术后眼压明显改善，两者相比差异有统计学意义。结论 合并脉络膜脱离的孔源性视网膜脱离玻璃体手术处理得当可获得较好的效果。
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| 关 键 词： | 脉络膜脱离；玻璃体切除 视网膜脱离 |
| 收稿时间： | 2013-07-08 |
Clinical study of vitreous surgery for rhegmatogenous retinal detachment associated with choroidal detachment |
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| ZHANG Jing-jing,HAN Fang-ju. Clinical study of vitreous surgery for rhegmatogenous retinal detachment associated with choroidal detachment[J]. Journal of Otolaryngology and Ophthalmology of Shandong University, 2014, 28(1): 70-72. DOI: 10.6040/j.issn.1673-3770.0.2013.207 |
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| Authors: | ZHANG Jing-jing HAN Fang-ju |
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| Affiliation: | 1. Department of Ophthalmology, Jinan Third People′s Hospital, Jinan 250101, Shandong, China; 2. Department of Ophthalmology, Jinan Second People′s Hospital, Jinan Eye Hospital, Jinan 250001, Shandong, China |
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| Abstract: | Objective To evaluate the efficacy of vitreous surgery combined with silicon oil tamponade for patients with rhegmatogenous retinal detachment associated with choroidal detachment． Methods A total of 21 patients with rhegmatogenous retinal detachment associated with choroidal detachment were enrolled in this study.All the patients received vitrectomy and silicone oil tamponade with using non-contact wide-angle lens and some patients received combined lens surgery. The pre- and post-operative visual acuity, intraocular pressure(IOP) and retinal reattachment rate were analyzed． Results The rate of retinal reattachment after single-surgery was 71.5％(15/21) and final reattachment rate was 90.5％(19/21)． The best corrected visual acuity (BCVA) was >0.1 in 7 eyes (33.3%) after surgery, and visual acuity increased in 17 eyes (80.9%). Average intraocular pressure(IOP) was 6.1mmHg before surgery and 14.8mmHg after surgery, with a significant difference between them (P<0.05)．Conclusion Vitreous surgery combined with silicon oil tamponade for patients with rhegmatogenous retinal detachment associated with choroidal detachment is efficient and safe． |
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| Keywords: | Vitreous surgery Choroidal detachment Retinal detachment |
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