曲安奈德联合手术治疗脉络膜脱离型视网膜脱离

目的:探讨后Tenon囊注射曲安奈德联合手术治疗脉络膜脱离型视网膜脱离的治疗效果。方法:回顾性分析18例18眼伴有脉络膜脱离的视网膜脱离患者的临床资料,观察术前后Tenon囊注射曲安奈德后眼前段炎症反应、玻璃体混浊程度以及脉络膜脱离变化情况,手术方式的选择和PVR的程度与手术效果的关系。结果:所有18例患者后Tenon囊注射曲安奈德后5～7d眼前段炎症反应15例视网膜完全复位,明显减轻,玻璃体混浊以及脉络膜脱离好转,随访3～12mo,1例未复位,2例复发,最终手术成功率为83%。眼压和视力均有明显的提高。结论:伴有脉络膜脱离的孔源性视网膜脱离较一般的视网膜脱离手术的成功率低,术前后Tenons囊注射曲安奈德可迅速减轻眼前段炎症反应,脉络膜脱离吸收,明显提高脉络膜脱离型视网膜脱离的手术成功率。

Trimacinolone combined with surgery for rhegmatogenous retinal detachment associated with choroidal detachment

·AIM:To investigate the effects of posterior Tenon capsule injection of trimacinolone combined with surgery on retinal detachment associated with choriodal detachment.·METHODS:Eighteen patients were studied.The clinical data,preoperative management,operative methods,therapeutic effects and follow records were analyzed.·RESULTS:Fifteen cases were completely succeeded,1 case failed,2 cases redetached after the follow-up of 3-12 months.The total successful rate was 83%.IOP and vision were significantly improved.·CONCLUSION:The successful rate of retinal detach-ment associated with choriodal detachment is lower than that of the general retinal detachment.Posterior Tenon capsule injection of trimacinolone is an effective and safe method for rhegmatogenous retinal detachment associated with choroidal detachment,it can improve the success rate.·