玻璃体视网膜手术联合巩膜扣带术治疗复杂性视网膜脱离

使用玻璃体视网膜手术联合巩膜扣带术的方法，进行复杂性视网膜脱离的治疗，达到提高治愈成功率的目的。（１）进行常规的巩膜扣带术，（２）进行睫状体平部三切口的闭合式玻璃体切除手术，包括膜剥离、气体、硅油眼内填充等技术。随访１－１６月，２９眼中，２２眼达到解剖复位，成功率７５．８％；其中，１５眼行硅油眼内填充，１２眼视网膜复位，成功率８０％，闭合式玻璃体手术的开展，使复杂性视网膜脱离的治疗成为可能，其解剖

Vitrectomy Combined with Scleral Buckling for the Treatment of Complicated Retinal Detachment

Purpose: To raise operative successful rate of complicated retinal detachment, we used the methods of vitrectomy combined with scleral buckling for the treatment of complicated retinal detachment.Methods: The operative methods included: scleral buckling, vitrectomy, membrane peeling, intraocular and extraocular drainage, gas and silicone oil tampon-ade.Result: Being followed up for 1-16 months, 22 eyes got anatomic reattachment in 29 eyes, the operative successful rate was 75- 8%; 15 eyes were injected with silicone oil intraocular tamponade, with 12 eyes getting reattachment. The successful rate was 80%.Conclusion: Since the vitreous surgery is used, it is possible for the treatment of complicated retinal detachment, the operative successful rate can be raised. The technique of membrane peeling and intraocular tamponade was very important. Silicone oil has been accepted by more and more ophthalologists in the world, which acts as an effective material of intraocular tamponade. Eye Science 1995; 11:107.