视网膜切开、切除及缝合术在复杂视网膜脱离手术中的应用

总结17例复杂视网膜脱离应用视网膜切开，切除及缝合术治疗的结果。其中视网膜巨大裂孔6例，外伤牵引性视网膜脱离4例，糖尿病增殖性视网膜病变2例，复发性视网膜脱离3例，间部增殖性玻璃体病变2例。手术采用视网膜切开8例，视网膜切除4例，视网膜切开加缝合3例，视网膜切除加缝合2例。全部病例均行闭合式玻璃体切除、环扎及完全性气液交换等。术后随访16例，时间3个月~3.5年，视网膜复位10例，占62.5%，视力≥0.05者8例，占50.0%，术后低眼压及眼球萎缩4例，占25.0% （中华眼底病杂志，1996，12：7-9）  

RETINOTOMY,RETINECTOMY AND RETINAL SUTURE FOR COMPLICATED RETINAL DETACHMENT

Seventen eyeswith complicated retinal detachment were repaired with vitrectomy,retinotomy,retinectomy or retinal suture combined with gas/fluid exchange,scleral buckle and cryotherapy.These cases include giant retinal tear with inverted retinal flap(6 eyes),severe traumatic retinal detachment(4 eyes),proliferative diabetic retinopathy(2 eyes),recurrent retinal detachmeng(3 eyes)and anterior proliferative vitreoretinopathy(2 eyes).The duration of follow up in 16 eyes was from 3 to 42 months.The retinal reattachment was in 10 eyes(62.5%),and visual acuity better than0.05 in 8 eyes(50.0%).Four eyes(25.0%)resulted in hypotony. （Chin J Ocul Fundus Dis,1996,12:7-9）