孔源性视网膜脱离手术60例疗效分析

目的分析视网膜脱离的手术方法和效果。方法印例孔源性视网膜脱离患者，分别采用裂孔定位后经巩膜CO2冷凝、视网膜下放液、硅胶外加压或环扎、玻璃体注气等方法治疗。结果术后随访3个月至1a，视网膜复位55例．53例患者视力提高，未愈者原因包括玻璃体增殖膜形成、无晶状体眼、巨大裂孔等。结论巩膜冷凝和硅胶外加压或环扎是治疗孔源性视网膜脱离常用有效的方法，应掌握手术适应征并根据具体情况选择手术方式。

Therapeutic effect analysis of rhegmatogenous retinal detac-hment surgery in 60 cases

Objective To analyze the therapeutic methods and effect of surgery in patients with rhegmatogenous retinal detachment (RRD).Methods Sixty patients with RRD accepted surgery.The major surgery were as followed:retinal breaks locating,cryotherapy,subretinal fluid drainaging,scleral buckling or encircling scleral buckling combined with intravitreal injection of cleared air.Results The follow-up time was from 3 months to 1 year after operation. The retinal reattachment with breaks closed in 55 eyes,the visual acuity increased in 53 eyes,the reason that caused reoperation of RRD were attributed to progressive vitreoretinal traction with proliferative vitreoretinopathy,formation of new retinal breaks, reopening of original breaks,and some happened in aphakic eye or the eye with giant RRD.Conclusion The scleral buckling or encircling scleral buckling surgery is an effective method for treatment of RRD.Ocular fundus should be examined carefully in preoperation,and proper operative method should be selected.