少年双眼视网膜脱离的临床特点及手术治疗

目的 少年双眼视网膜脱离是视网膜脱离的特殊类型,对视功能及生存质量的影响十分严重。本文对少年双眼视网膜脱离患者的临床特点和手术效果进行观察及评价。方法 本院分析了1998/2002收治的9例少年双眼视网膜脱离患儿的(年龄≤15岁)发病年龄、性别、裂孔类 型、位置、形态和手术方法及效果等。结果 巩膜环扎加压术一次手术视网膜复位率为94.1%(16/17)。少年双眼视网膜脱离对视功能影响严重。结论 少年双眼视网膜脱离是一类严重危害视功能的疾病。视网膜裂孔以圆孔为主伴有周边视网膜格子样变性,多位于颞下象限,并且有一定的对称性。巩膜环扎加压手术为首选手术方式,成功率较高。

Clinical characteristics and operative therapy of binocular juvenile retinal detachment

Aim To find out the clinical features and surgical outcome of binocular juvenile retinal detachment Methods A retropec-tive study was made of 9 patients with binocular juvenile retinal detachment treated in our hospital from 1998 to 2002 in terms of age, gender, typer and location of retinal breaks as sell as surgical outcomes. Results The success rate of scleral buckling and encircling was 94.1% ( 16/17 ) after one operation. Prognosis of vision was not satisfactory despite retinal reattachment. Conclusion Binocular retinal detachment is a vision-threatening disease. Its optimal surgical treatment is scleral buckling and encircling.