球形孔源性视网膜脱离的手术探讨

目的：探讨球形孔源性视网膜脱离的手术方法选择与手术预后，方法：回顾性分析1999年在我院手术的球形视网膜脱离患者161例161眼资料。最终手术采用环扎加压不放液53眼，环扎加压放液75眼，玻璃体手术33眼，平均随访3个月。结果：出院时手术复位159眼，复位率98．8％，随访期间复发2眼，最终手术成功157眼，成功率97．5％，术后视力有明显提高，结论：球形孔源性视网膜脱离由于其发病急，就诊快，只要手术方法选择适当，大部分还是可以取得成功，对于膜形成严重，裂孔多，大，靠后，或再手术病例，采用玻璃体手术，其术后解剖复位率和视功能恢复还是相当满意的。

Discussion on the surgery of bulbar rhegmatogenous retinal detachment

Objective: To discuss the method and the prognosis of the surgery of bulbar rhegmatogenous retinal detachment. Methods: The cases of 161 eyes in 161 patients with bulbar rhegmatogenous retinal detachment who underwent surgery in our hospital in 1999 were reviewed retrospectively, The final surgeries in 53 eyes were scleral buckling surgery without subretinal fluid drainage, 75 eyes underwent scleral buckling surgery with subretinal fluid drainage, and vitrectomy was applied in 33 eyes. The mean follow-up time was 3 months. Results: The retina still reattached in 159 eyes (98.8%) when the patients left the hospital. Retinal re-detachment was found in 2 eyes during the follow-up time. Finally retinal reattachment was found in 157 eyes (97.5%). The visual acuity of these eyes increased significantly. Conclusions: Most of the surgery in these eyes of bulbar rhegmatogenous retinal detachment can be successful if the method is appropriately chosen. To those eyes with severe proliferative vitreoretinopathy multiple holes, big holes, posterior holes, or retinal re-detachment, the anatomic and functional prognosis after vitrectomy is rather satisfactory.