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目的探讨一种行之有效的治疗复杂视网膜脱离的手术方法。方法增殖性玻璃体视网膜病变（ｐｒｏｌｉｆｅｒａ－ｔｉｖｅｖｉｔｒｅｏｒｅｔｉｎｏｐａｔｈｙ，ＰＶＲ）Ｄ３级患者１８例，行闭合式玻璃体切割，环扎，松解性视网膜切开及切除联合硅油填充术，个别病例同时行前节再造，人工晶体取出及穿透性角膜移植术。结果视网膜完全复位１３例（７２．２％）；视力较术前增加９例（５０．０％），矫正视力低于０．０２者６例（３３．３％），０．０２～０．０５者９例（５０．０％），高于０．０５者３例（１６．７％）；大于１８０°视网膜切开７例，视力在０．０５以上者２例（２８．６％），３６０°切开及切除３例，视网膜复位２例，视力均低于０．０２。结论松解性视网膜切开及切除联合硅油填充可以作为治疗复杂性视网膜脱离的一种手术方法。
Objective To explore an effective surgical method for the treatment of complex retinal detachment. Methods Eighteen patients with grade D3 proliferative vitreoretinopathy (PVR) underwent closed vitrectomy, cerclage, lymphadenectomy and resection combined with silicone oil filling. In some cases, anterior segment reconstructions were performed at the same time. Artificial Crystal removal and penetrating keratoplasty. Results The retina was completely reset in 13 cases (72.2%). The visual acuity increased in 9 cases (50.0%) and in 6 cases (33.3%) with corrected visual acuity of less than 0.02. 05 (9 cases, 50.0%), higher than 0.05, 3 cases (16.7%); more than 180 ° retina in 7 cases, visual acuity of 0.05 in 2 cases (28.6% , 360 ° incision and resection in 3 cases, 2 cases of retinal reattachment, visual acuity were less than 0.02. Conclusion Release of the detached retina and resection combined with silicone oil filling can be used as a surgical method for the treatment of complex retinal detachment.