视网膜切开及切除术在复杂性视网膜脱离手术中的临床应用

目的探讨视网膜切开与切除术在复杂性视网膜脱离手术中的临床应用。方法对2003年7月至2004年3月间行视网膜切开与切除的50例复杂性视网膜脱离患者作回顾性分析,其中外伤性视网膜脱离21例,复发性视网膜脱离10例,增殖性糖尿病视网膜病变8例,巨大裂孔性网脱8例,其他3例伴有球内异物。结果所有患者出院时视网膜解剖复位,有效率100%,30例视力不同程度改善。术后随访3-14月(平均6月),视网膜复位42例,占93%,视力>0.05者12例,占27%。结论视网膜切开和切除术提高了复杂性视网膜脱离的成功率。

The clinical observation for retinotomies and retinectomies in the treatment of complicated retinal detachment

Objective To explore the therapeutic effects of retinotomy and retinectomy for compli- cated retinal edtachment. Methods A retrospective survey was done in 50 patients (50 eyes) with complicated retinal edtachment (CRD) who underwent vitrectomy combined with retinotomy or retinectomy in our hospital from July, 2003 to March, 2004. Included were 21 eyes followed by eye injury, 10 eyes followed by recurrent retinal edtachment, 8 eyes followed by proliferative diabetic retinopathy, 8eyes followed by giant hole and 3 eyes combined with introcular foreign bodies. Outcome measures included retinal reattachment and visual acuity. Results Retinal attachment were obtained in all of operation, visual acuity was improved in 30 cases. After being followed up for 3 to 14 months (mean 6 months), 42 cases (93%) achieved retinal reattachment, and 12 cases (27%) had vision better than 0.05. Conclusion Retinotomy and retinectomy were. benificial improving curative effect complieatedy retinal detachment.