Clinical Observation of Externalroute microsurgery in the Treatment of Rhegmatogenous Retinal Detachment_West China Medical Journal

Authors：

YANG Min , ZHONG Ling , YU Haijiang , et al.

Department of Ophthalmology, the First People’s Hospital of Yibin City, Yibin 644000, China;

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Keywords：

孔源性視網膜脫離; 顯微鏡手術

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目的:觀察顯微鏡直視下經外路手術治療孔源性視網膜脫離的臨床療效。方法:孔源性視網膜脫離38例(38眼),術前在三面鏡下檢查裂孔位置、大小及脫離范圍;在手術顯微鏡直視下行裂孔及變性區定位,放出視網膜下液,在裂孔及周圍行視網膜冷凝,作硅膠墊壓及環扎帶。最后頂起硅膠墊壓塊,證實裂孔位于鞏膜脊前坡上,視裂孔位置及眼壓情況,玻璃體腔內注入C3F8。術后觀察視力、眼壓、葡萄膜反應及視網膜復位情況。結果:視網膜裂孔封閉36眼(94.74％),視網膜完全復位34眼(89.47％),視網膜下積液2眼(5.26％),于7～10d吸收。有２眼術后發現墊壓嵴偏離視網膜裂孔,經再次手術調整后視網膜復位。術后視力提高28眼(73.68％)。結論:顯微鏡直視下經外路視網膜脫離手術視野清晰,操作簡便,手術效果良好。

Citation： YANG Min,ZHONG Ling,YU Haijiang,et al.. Clinical Observation of Externalroute microsurgery in the Treatment of Rhegmatogenous Retinal Detachment. West China Medical Journal, 2009, 24(5): 1074-1076. doi: Copy

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West China Medical Journal

Clinical Observation of Externalroute microsurgery in the Treatment of Rhegmatogenous Retinal Detachment

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