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采用现代常规视网膜脱离(简称网脱)手术,部分病例配合现代玻璃体手术,治疗各种网脱40例40眼。其中较特殊和复杂的网脱有:黄斑裂孔性网脱3例,黄斑裂孔伴明显机化牵引性网脱1例,黄斑裂孔伴周边裂孔1例,后极部裂孔1例,锯齿缘离断性网脱2例,陈旧网脱继发周边视网膜巨大囊肿3例,伴有白内障网脱2例,人工晶体植入术后发障玻璃体混浊网脱1例,复发性网脱2例,伴有玻璃体积血网脱4例,玻璃体积血伴牵引性网脱2例,眼球穿孔伤后玻璃体积血网脱1例,玻璃体手术后网脱3例,眼内囊虫取出术后网脱1例。PVRC级者13例(33%),D级者4例(10%)。普通网脱术后解剖复位率97%。复杂网脱解剖复位率73%。
The use of modern routine retinal detachment (referred to as net off) surgery, in some cases with modern vitreous surgery, treatment of 40 cases of 40 cases off the net. Among them, the more special and complex nets were as follows: 3 cases with macular hole net off, 1 case with macular hole with obvious mechanization and traction net, 1 case with macular hole with peripheral hole, 1 case with posterior pole crack, 3 cases of cystadenocarcinoma and 3 cases of cystadenocarcinoma secondary to secondary retinal detachment, 2 cases of cataract escalation and 2 cases of intraocular lens implantation, 1 case of vitreous opacity and 2 cases of recurrent cystitis with intraocular lens implantation 4 cases of vitreous hemorrhage, 2 cases of vitreous hemorrhage with traction reticular detachment, 1 case of vitreous hemorrhage after perforation of eyeball, 3 cases of reticular detachment after vitreous surgery, 1 case of intraocular cysticercosis removed after operation . Thirteen patients (33%) were in the PVRC class and 4 patients (10%) in the D class. Ordinary mesh off anatomical reduction rate of 97%. Complex network off anatomical reduction rate of 73%.