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为评价全氟癸烷液体联合眼内氩激光光凝在超过１８０°巨大裂孔性视网膜脱离手术中的应用效果。采用环扎、玻璃体切除、膜剥离，部份病人联合视网膜切开或切除，术中注入全氟癸烷液体（Ｃ１０Ｆ１８），压平视网膜，展平视网膜瓣，同时应用眼内氩激光封闭视网膜裂孔，眼内充填硅油。共治疗了１０例１０眼巨大裂孔性视网膜脱离，其中裂孔超过１８０°者７眼，超过２７０°者３眼，经９～２３个月随访，９眼完全复位，１眼部份复位。术后最佳视力≥００５者５眼（５／１０）。全氟癸烷在玻璃体手术中的应用，治疗超过１８０°巨大裂孔性视网膜脱离，具有操作简便，并发症少，手术成功率高，平复视网膜后瓣，驱赶视网膜下液，便于进行增殖膜清除，以及直视下眼内氩激光封闭裂孔，不必于后极部做视网膜切开放液等优点。视网膜活动度恢复良好者，全氟癸烷注入量可超过裂孔缘，使其恢复原位。眼内注入全氟癸烷液体后宜采用硅油重水交换方式，充填硅油。
To evaluate the effect of perfluorodecane liquid combined with intraocular argon laser photocoagulation in the treatment of giant retinal detachment more than 180 °. Using cerclage, vitrectomy, membrane debridement, some patients combined retinal incision or resection, intraoperative perfluorodecane liquid (C10F18), flatten the retina, flatten the flap, while the application of intraocular argon laser to close the retinal hole , Intraocular filling silicone oil. A total of 10 cases of 10 cases of giant retinal detachment were treated. There were 7 eyes with more than 180 ° of fracture and 3 eyes of more than 270 °. After 9 to 23 months of follow-up, 9 eyes were completely reset and 1 part was partially reset. The best postoperative visual acuity ≥ 0.55 in 5 eyes (5/10). Perfluorodecane in the vitreous surgery, the treatment of large retinal detachment of more than 180 °, with simple operation, fewer complications, high success rate of surgery, smoothing back of the retina, to drive the subretinal fluid, easy to proliferate membrane clearance, And under the eyes of the argon laser intraocular lens to close the hole, do not have to retina in the posterior pole to open the liquid and so on. Retinal activity was restored well, perfluorodecane injection can exceed the edge of the hole, so that it returned to its original position. After perfluorodecane liquid injection into the eye should adopt the silicone oil water exchange mode, filled with silicone oil.