巩膜外路手术治疗孔源性视网膜脱离的疗效分析

目的 探讨巩膜外路手术治疗孔源性视网膜脱离的疗效.方法 2005年至2010年我院采用巩膜外路手术的方法治疗孔源性视网膜脱离588只眼,采用回顾性研究的方法,对其治疗效果和手术方式进行分析.结果 术后视网膜裂孔在手术嵴外坡上331只眼(56.2％),在手术嵴正上方159只眼(27.1％),在手术嵴内坡上78只眼(13.3％),手术总复位率为70.75％.术后常见并发症依次为术后角膜上皮缺损(84.4％),术后视网膜下液存在(视网膜复位不良)(29.3％),术后高眼压(24.7％),玻璃体出血(6.3％).结论 巩膜外路手术治疗孔源性视网膜脱离手术具有严格手术适应症,手术效果良好,值得临床推广应用.

Efficacy analysis of scleral surgical treatment for rhegmatogenous retinal detachment patients

OBJECTIVE To analyse the effect of surgical scleral treatment for retinal detachment.METHODS We completed 588 cases of scleral surgical from 2005 to 2010 in our hospital,and a retrospective analysis of surgical treatment,surgical procedures was made.RESULTS After surgeries,56.2%(331 eyes)of patients’ retinal holes were outside the ridge slope,27.1%(159 eyes)were just above the ridge,13.3%(78 eyes)were in the slope crest.Effective operation rate was 96.6%.The proportion of postoperative complications were corneal epithelial defect(84.4%),postoperative presence of subretinal fluid(retina bad)(29.3%),postoperative high intraocular pressure(24.7%) and vitreous hemorrhage(6.3%).CONCLUSIONS With strict surgical indications,scleral surgical treatment for rhegmatogenous retinal detachment was good and worth of clinical application.