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总结17例复杂视网膜脱离应用视网膜切开、切除及缝合术治疗的结果。其中视网膜巨大裂孔6例,外伤牵引性视网膜脱离4例,糖尿病增殖性视网膜病变2例,复发性视网膜脱离3例,前部增殖性玻璃体病变2例。手术采用视网膜切开8例,视网膜切除4例,视网膜切开加缝合3例,视网膜切除加缝合2例。全部病例均行闭合式玻璃体切除、环扎及完全性气液交换等。术后随访16例,时间3个月～3.5年,视网膜复位10例,占62.5%,视力≥0.05者8例,占50.0%,术后低眼压及眼球萎缩4例,占25.0%。
Summary of 17 cases of complex retinal detachment application of retinal incision, resection and suture treatment results. Among them, there were 6 cases of giant retinal tears, 4 cases of traumatic retinal detachment, 2 cases of diabetic proliferative retinopathy, 3 cases of recurrent retinal detachment and 2 cases of anterior proliferative vitreous lesions. Retinal surgery in 8 cases, retinal resection in 4 cases, 3 cases of retinal incision and suture, retinal resection plus suture in 2 cases. All cases were performed closed vitrectomy, cerclage and complete gas-liquid exchange. There were 16 cases who were followed up for 3 months to 3.5 years. Retinal reattachment was found in 10 cases (62.5%), visual acuity was 0.05 (8 cases), accounting for 50.0%. Postoperative hypotension and atrophy were 4 cases (25.0%).