论文部分内容阅读
应用玻璃体手术治疗有明显玻璃体牵引、伴严重ＰＶＲ或多次手术未能成功的黄斑裂孔视网膜脱离（简称网脱）３７例３７只眼。根据病情不同，合理选择玻璃体腔注气、完全气体／液体交换或硅油／液体交换作眼内充填，部分病例结合环扎术，术后取面向下体位。经过６－３０个月（平均１６．５个月）的随访，３７例中３０例视网膜完全复位，成功率８１％，成功病例视力均有不同程度提高，随访视力在０．０５以上者共有１９例。认为玻璃体手术是治疗复杂性黄斑裂孔视网膜脱离的有效方法，对不同的眼内充填物的优缺点进行比较，并提出各自的适应症。
37 patients (37 eyes) with macular hole retinal detachment (referred to as net detachment) were treated by vitrectomy with obvious vitreous traction, severe PVR or multiple surgeries. According to different conditions, a reasonable choice of vitreous gas injection, complete gas / liquid exchange or silicone oil / liquid exchange for intraocular filling, in some cases combined with cerclage, postoperative face down position. After 6-30 months (mean 16.5 months) follow-up, 37 cases of 30 cases of complete reattachment of the retina, the success rate of 81%, successful cases of visual acuity were improved to varying degrees, follow-up visual acuity of 0.05 or more in a total of 19 example. Vitreous surgery is considered an effective method for the treatment of complex macular hole retinal detachment, the advantages and disadvantages of different intraocular fillings are compared and their respective indications are proposed.