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目的 探讨降低视网膜脱离手术后囊性黄斑水肿发病率的方法。方法 35例 36只视网膜脱离手术成功眼 ,术后 2周、4或 6周和 2～ 6月共三次进行荧光眼底血管造影术检查。手术 :巩膜表面环扎加压和巩膜外手术联合玻璃体切除手术。严格局限中等强度冷凝于视网膜破口区 ,大破口或多个破口加用玻璃体切除术。结果 荧光血管造影证实 36只眼中有 8只眼 (2 2 .7% )黄斑改变 ,其中囊性黄斑水肿 2只眼 (5 .5 % ) ,视网膜色素上皮脱离 2只眼 (5 .5 % ) ,和黄斑表面膜 3只眼 (8.3% )。结论 通过严格控制冷凝、减轻眼内炎性反应证实对降低视网膜脱离术后囊性黄斑水肿发病率是有帮助的。
Objective To investigate the method of reducing the incidence of cystic macular edema after retinal detachment surgery. Methods Thirty-five retinal detachment procedures were performed in 36 eyes. Two weeks after surgery, 4 or 6 weeks and 2 to June were performed fluorescein angiography. Surgery: Scleral surface compression and scleral surgery combined with vitrectomy. Strict limitations of moderate-intensity condensation in the retinal break area, a large breach or multiple incision plus vitrectomy. Results Fluorescent angiography confirmed macular changes in 8 eyes (22.7%) of 36 eyes, including 2 eyes of cystic macular edema (5.5%), 2 eyes of retinal pigment epithelium (5.5%), , And 3 eyes of the macular surface membrane (8.3%). Conclusions It is helpful to reduce the incidence of cystic macular edema after retinal detachment by strictly controlling the condensation and reducing the intraocular inflammatory reaction.