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为了探讨玻璃体手术在视网膜脱离合并脉络膜脱离治疗中的应用 ,回顾性分析了 12例 12只眼视网膜脱离合并脉络膜脱离的病例 ,应用闭合式玻璃体手术 ,玻璃体腔内应用 6 mm长灌注针头 ,切除玻璃体 ,剥离视网膜前膜 ,气液交换 ,周边部下方裂孔置巩膜外填压 ,调整环扎带 ,玻璃体注气 C3 F815 %。一例患者注入硅油。术前、术后常规全身激素用药。结果 12例 12只眼术中眼内压迅速重建 ,脉络膜下腔的液体经三个巩膜切口自行引流 ,脉络膜复位 ,无需另外的巩膜切口引流脉络膜下腔的液体 ,术后随访 2～ 16个月 ,12只眼全部获得视网膜解剖复位 ,未诱发术后玻璃体视网膜增殖病变 (PVR)。提示玻璃体手术在治疗视网膜脱离合并脉络膜脱离时是优先考虑的术式
In order to investigate the application of vitreous surgery in the treatment of retinal detachment complicated with choroidal detachment, 12 cases of retinal detachment complicated by choroidal detachment were retrospectively analyzed. Closed vitreous surgery was used in 12 eyes. 6mm long perfusion needle was used in the vitreous cavity to excise the vitreous , Stripping the anterior retinal membrane, gas-liquid exchange, peripheral periosteal cleft hypotonic pressure, adjust the ring tie, vitreous C3 F815% gas injection. One patient was given silicone oil. Preoperative and postoperative general systemic hormonal medication. Results The intraocular pressure was rapidly reconstructed in 12 eyes in 12 eyes. The subchondral fluid was drained by three scleral incisions and the choroid was reset. No additional scleral incision was required to drain the sub-choroidal fluid. The patients were followed up for 2 to 16 months All of the 12 eyes received anatomical reduction of the retina without any postoperative vitreoretinal proliferation (PVR). Tip vitreous surgery in the treatment of retinal detachment associated with choroidal detachment is a priority surgery