脉络膜脱离型视网膜脱离的玻璃体手术治疗

目的:探讨玻璃体手术治疗脉络膜脱离型视网膜脱离及术后早期临床表现。方法:脉络膜脱离型视网膜脱离患者17例17眼,应用糖皮质激素及玻璃体切除联合硅油填充术治疗,分析手术前后临床表现及早期疗效。结果:患者17眼早期间接眼底镜及B超检查视网膜及脉络膜脱离达到解剖复位;术后眼压略高,之后趋于稳定;炎症反应较轻;视力均有不同程度提高。结论:脉络膜脱离型视网膜脱离采用玻璃体切割联合硅油填充术能够获得良好的早期解剖复位。术前使用糖皮质激素有助于减轻炎症,为手术创造条件,提高手术成功率。术后早期眼压可控制在相对安全范围内。该类患者视力恢复普遍较差。

Vitreous surgery for choroidal detachment associated with retinal detachment

AIM: To approach the early post-operative clinical manifestation and vitreous surgery of choroidal detachment associated with retinal detachment.

METHODS: Totally 17 cases 17 eyes suffering from choroidal detachment associated with retinal detachment were included, and patients underwent the application of glucocorticoid and vitrectomy combined with silicon oil filling operation treatment. Preoperative and postoperative surgery clinical manifestation and early curative effect were analyzed.

RESULTS: Of the 17 eyes, the retinal and choroidal detachment were reattached under indirect ophthalmoscope and the application of B-mode ultrasound; After the surgery, the intraocular pressure was slightly above normal and then became stable; The inflammatory reaction was mild; Eyesight in all the cases were improved in different extents.

CONCLUSION:Choroidal detachment associated with retinal detachment is one type of retinal detachment. It can obtain an early good anatomic reduction by adopting vitrectomy combined with silicon oil. Using glucocorticoid before surgery can contribute to reduce inflammation, provide a favorable condition and increase the success ratio of operation. After operation, early intraocular could be maintained at a safety range. These patients' visual restoration situation generally is poor.