高度近视眼黄斑裂孔视网膜脱离手术治疗

目的评价高度近视眼黄斑裂孔视网膜脱离手术成功率，并分析有关因素。方法对11例高度近视眼黄斑裂孔视网膜脱离患者行玻璃体切除联合眼内填充18%C₃F₈或硅油手术。术后严格俯卧位至少2周以上。结果10只眼黄斑裂孔闭合视网膜复位。10只眼术后视力提高，1只眼术后视力无变化。术后主要并发症为晶状体核轻度硬化1只眼，眼压升高1只眼， 纤维素性渗出2只眼，双眼复视1只眼。结论玻璃体切割联合眼 内填充18 % C₃F₈或硅油是治疗高度近视眼黄斑裂孔视网膜脱离安全有效的方法。术前详细检查眼底、正确设计手术方案及良好手术技术是治疗本病关键。(中华眼底病杂志,2001,17:90-92)

Surgical treatment of retinal detachment due to macular hole in high myopia

ObjectiveTo evaluate the successful rate of surgical treatment of retinal detachment due to macular hole in high myopia, and to analyze the relative reasons.MethodsEleven eyes of 11 high myopic patients with retinal detachment due to macular hole underwent vitrectomy combined with the adjunct of 18% C₃F₈8or silicone oil. Strict prone position was conducted at least 2 weeks postoperatively.ResultsMacular hole closed and retina reattached in 10 eyes. Visual acuity was increased in 10 eyes, and no change in 1 eye. Postoperative complications mainly included nuclear sclerosis of the lens(1 eye), intraocular pressure elevation (1 eye), fibrosis exudates (2 eyes)，and diplopia (1 eye).ConclusionThe use of vitrectomy combined with the adjunct of 18% C₃F₈or silicone oil is a safe and effective method in treating retinal deta chment due to macular hole in high myopia. Preoperative careful examination of o cular fundus, rational surgical design, and better surgical expertise are basic factors in treating this disease.(Chin J Ocul Fundus Dis, 2001,17:90-92)