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| 玻璃体切除术联合巩膜外环扎治疗脉络膜脱离型视网膜脱离 | |
| 引用本文： | 单将成,张军辉,邱海雁.玻璃体切除术联合巩膜外环扎治疗脉络膜脱离型视网膜脱离[J].国际眼科杂志,2019,19(7):1222-1224. |
| 作者姓名： | 单将成 张军辉 邱海雁 |
| 作者单位： | 中国浙江省湖州市中心医院眼科,中国浙江省湖州市中心医院眼科,中国浙江省湖州市中心医院眼科 |
| 摘 要： | 目的：探讨玻璃体切除联术合巩膜外环扎治疗脉络膜脱离型视网膜脱离的临床疗效。 方法：回顾性分析2014-01/2018-02在我院行玻璃体切除术联合巩膜外环扎治疗的脉络膜脱离型视网膜脱离患者19例19眼，术后3～12mo行玻璃体腔硅油取出术。观察患者术后视网膜复位率、眼压、视力恢复及并发症情况。 结果：本组患者术后视网膜均复位，术后3mo患眼玻璃体腔硅油填充状态下眼压(16.09±3.58mmHg)、硅油取出术后6mo眼压(14.69±3.10mmHg)均高于术前(6.78±1.90mmHg)(均P<0.05)。硅油取出术后6mo，15眼患者视力较术前提高。术后无低眼压及眼球萎缩等并发症发生。 结论：玻璃体切除术联合巩膜外环扎治疗脉络膜脱离型视网膜脱离是相对安全有效的，视网膜复位率高，术后并发症少，再次手术率低。 |
| 关 键 词： | 孔源性视网膜脱离 脉络膜脱离 玻璃体切除术 巩膜外环扎 |
| 收稿时间： | 2019/2/3 0:00:00 |
| 修稿时间： | 2019/6/5 0:00:00 |
Vitrectomy combined with scleral buckling for rhegmatogenous retinal detachment associated with choroidal detachment |
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| Jiang-Cheng Shan,Jun-Hui Zhang and Hai-Yan Qiu.Vitrectomy combined with scleral buckling for rhegmatogenous retinal detachment associated with choroidal detachment[J].International Journal of Ophthalmology,2019,19(7):1222-1224. | |
| Authors: | Jiang-Cheng Shan Jun-Hui Zhang and Hai-Yan Qiu |
| Institution: | Department of Ophthalmology, Huzhou Central Hospital, Huzhou 313000, Zhejiang Province, China,Department of Ophthalmology, Huzhou Central Hospital, Huzhou 313000, Zhejiang Province, China and Department of Ophthalmology, Huzhou Central Hospital, Huzhou 313000, Zhejiang Province, China |
| Abstract: | AIM: To investigate and analyze the safety and clinical efficacy vitrectomy combined with scleral buckling in treatment of rhegmatogenous retinal detachment associated with choroidal detachment. METHODS: Totally 19 patients(19 eyes)of rhegmatogenous retinal detachment associated with choroidal detachment treated by vitrectomy combined with scleral buckling in our hospital from January 2014 to September 2017 were retrospective analyzed. Silicone oil was removed from the vitreous cavity 3 to 12mo after operation. Retinal reattachment rate, intraocular pressure(IOP), visual acuity recovery and complications were observed. RESULTS:The IOP in vitreous cavity filled with silicone oil at 3mo after operation(16.09±3.58mmHg)and 6mo after silicone oil removal(14.69±3.10mmHg)were higher than those before operation(6.78±1.90mmHg)(all P<0.05). Six months after silicone oil removal, the visual acuity of 15 eyes was improved. No complications of low IOP and atrophy occurred after operation. CONCLUSION: Vitrectomy combined with scleral buckling is relatively safe and effective in treatment of rhegmatogenous retinal detachment associated with choroidal detachment, with high retinal reattachment rate, fewer complications and low reoperation rate. |
| Keywords: | rhegmatogenous retinal detachment choroidal detachment vitrectomy scleral buckling |
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