论文部分内容阅读
目的:总结对硅油填充眼下方视网膜脱离施行巩膜扣带术的疗效,探讨该手术的适应征及手术技巧。方法:对12例(12眼)硅油填充眼下方视网膜脱离患者,行巩膜环扎、垫压、冷凝术,术中不放液,垫压嵴应较常规巩膜扣带术高,对于眼压高者,通过玻璃体腔穿刺,释放少量硅油来调整眼压。结果:12例中9例成功复位,占75%。3例失败病例视网膜前及视网膜后明显增殖,视网膜僵硬、增厚,春中1例为原下方视网膜裂孔未封闭,裂孔缘卷边明显。12例无1例出现高眼压。结论:巩膜扣带术是硅油填充眼下方局限性视网膜脱离的有效手术方法之一,此方法操作简便、节约时间和费用。但此术式仅适用于硅油填充眼下方视网膜脱离的部分病例:(1)下方局限性视网膜浅脱离。(2)视网膜增殖较轻,视网膜动度尚可。
OBJECTIVE: To summarize the curative effect of scleral buckling on the retinal detachment under silicone oil filling, and to investigate the indications and surgical techniques of this operation. Methods: Twelve eyes (12 eyes) of silicone oil were filled in patients with subretinal retinal detachment under scleral cerclage, cushioning and condensation. The intramedullary liquid was not released during operation. Cushion pressure should be higher than that of conventional scleral buckling. For intraocular pressure Through the vitreous cavity puncture, release a small amount of silicone oil to adjust intraocular pressure. Results: 9 of 12 cases were successfully reset, accounting for 75%. Three cases of failure before and after the retina retinal proliferation, retinal stiffness, thickening, spring in 1 case of the original retinal hole is not closed, the edge of the edge of the crimping obvious. None of the 12 patients had ocular hypertension. Conclusions: Scleral buckling is one of the effective surgical methods for the treatment of limited retinal detachment under the eyes of silicone oil. This method is easy to operate and saves time and expense. However, this procedure is only applicable to silicone oil filling the bottom of the retinal detachment in some cases: (1) the following limitations of retinal detachment. (2) retinal proliferation lighter, retinal motion is acceptable.