巩膜扣带术联合氩激光光凝治疗视网膜脱离

目的 探讨将巩膜扣带术中冷凝改为术后氩激光光凝封闭裂孔,治疗视网膜脱离（retinal detachment,RD)的疗效及适应证范围。方法 回顾性分析1999年12月至2000年4月,在我院行巩膜扣带术接受氩激光光凝治疗的RD患者35例（38只眼）的临床资料。结果 术后随访3－6个月,38只眼中,视网膜完全复位36只眼（94．7％）。术后视力≥0。05者31只眼（86．1％）,最佳矫正视力为1．0。结论 将巩膜扣带术中冷凝改为术后氩激光光凝,可简化术中操作,减少视网膜和脉络膜血管的损伤及术后并发症的发生,是治疗RD的有效方法之一。

The scleral buckling combined with argon laser photocoagulation for retinal detachment

OBJECTIVE: To investigate the effects and indications of postoperative photocoagulation with argon laser instead of intraoperative cryotherapy for closing the retinal breaks during the scleral buckling operation in rhegmatogenous retinal detachment (RD) METHODS: An analysis of clinical data in 35 RD cases (38 eyes) was conducted retrospectively. These cases were treated by argon laser photocoagulation after the scleral buckling surgery from December, 1999 to April, 2000 in our hospital. RESULTS: Thirty-eight eyes were followed-up from 3 to 6 months. In 36 of 38 eyes, the retina was reattached after surgery (94.7%). Postoperatively, thirty-one eyes (86. 1%) had a visual acuity (VA) of >or= 0.05 and the best VA was 1.0. CONCLUSIONS: The method using postoperative photocoagulation instead of cryotherapy during scleral buckling surgery can simplify the surgical manipulations, alleviate the vessel damage of the retina and uvea and reduce the postoperative complications. It is a practicable way to treat RD. Surely, photocoagulation can not totally replace cryotherapy. Proper selection of indications and avoidance of complications of photocoagulation can elevate the successful rate of reattachment of RD, and promote the recovery of visual function.