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玻璃体视网膜联合术治疗急性视网膜坏死性视网膜脱离
引用本文:董卫红,毕宏生,王兴荣. 玻璃体视网膜联合术治疗急性视网膜坏死性视网膜脱离[J]. 山东医大基础医学院学报, 2000, 0(5)
作者姓名:董卫红  毕宏生  王兴荣
作者单位:济南施尔明眼科医院!250001
摘    要:目的 :研究治疗急性视网膜坏死性视网膜脱离的玻璃体视网膜联合手术效果。方法 :急性视网膜坏死性视网膜脱离 4例患者 ,1例行超声乳化白内障吸出加玻璃体切除加眼内光凝加硅油填充加巩膜环扎术 ;2例行玻璃体切除加眼内光凝加C3F8填充术 ;1例行玻璃体切除加眼内光凝加硅油填充术。结果 :4例患者的炎症均控制良好 ,视网膜均成功复位。随访 9个月~ 3年 ,4例视力分别为 0 0 1(矫正视力 0 12 ) ,0 15,0 1,0 3。结论 :视网膜脱离是急性视网膜坏死的严重并发症 ,通过玻璃体视网膜联合手术 ,可有效地提高视网膜脱离的复位率 ,挽救患者的视功能。

关 键 词:视网膜坏死综合征  急性  视网膜脱离  玻璃体切除术

Vitreoretinal surgery for retinal detachment following the acute retinal necrosis
Dong Weihong Bi Hongsheng Wang Xingrong. Vitreoretinal surgery for retinal detachment following the acute retinal necrosis[J]. Journal of Preclinical Medicine College of Shandong Medical University, 2000, 0(5)
Authors:Dong Weihong Bi Hongsheng Wang Xingrong
Abstract:Objective:To evaluate the therapeutic effects of combined vitreoretinal surgery on 4 cases of retinal detachment(RD)following the acute retinal necrosis (ARN) syndrome.Methods:1 case was treated with the combined surgery of phacoemulsification,vitrectomy,photocoagulation,silicone oil tamponade and scleral buckling;2 cases were treated with the combined surgery of vitrectomy,photocoagulation and C3F8 tamponade;1 case was treated with the combined surgery of vitrectomy,photocoagulation and silicone oil tamponade.Results:Followed up from 9 months to 3 years,retinas of the 4 cases were all successfully reattached,with the visual acuity of 0.01(correcting visual acuity 0.12),0.15,0.1,and 0.3 respectively.Conclusion:RD is a severe complication following the ARN,and proper vitreoretinal surgery can effectively improve the reattaching rate of the retinas.
Keywords:Retinal necrosis syndrome  acute  Retinal detachment  Vitrectomy
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