论文部分内容阅读
本文报告应用三种非传统手术方法治疗黄斑裂孔视网膜脱离17例17眼。对单纯黄斑裂孔性视网膜脱离,有明显玻璃体牵引的10眼,采用玻璃体切割、眼外排液及眼内注气术:单纯黄斑裂孔网脱,无玻璃体牵引的2眼,采用眼外排液、眼内注气术:对周边裂孔伴黄斑裂孔性网脱的5眼,采用重点封闭周边裂孔的治疗原则。经过3～16个月的随防,17眼中,15眼视网膜获得解剖学复位(88.2%),10眼术后视力提高,4眼保持不变。术后视力在0.06以上者共9眼,认为这些方法与传统的黄斑区扣带术相比,具有操作容易、对黄斑区破坏性小,并发症少,视力提高满意等优点,不失为黄斑裂孔视网膜脱离治疗的好方法。
This article reports the application of three non-traditional methods of surgical treatment of macular hole retinal detachment in 17 cases 17 cases. For simple macular hole retinal detachment, there were 10 eyes with obvious vitreous traction. Vitrectomy, extraocular discharge and intraocular gas injection were used. Two eyes without vitreous traction, Intraocular gas injection: Peripheral fissure with macular hole mesh reticular detachment of 5, using the key to the treatment of peripheral perforation closed. After 3 to 16 months of follow-up, in 17 eyes, 15 eyes received anatomical reduction (88.2%), and 10 eyes showed improved visual acuity and 4 eyes remained unchanged. Postoperative visual acuity of 0.06 or more in a total of 9 eyes, that these methods compared with the traditional macular cingulate, with easy to operate, macular destruction of small, less complications, improve visual acuity, etc., after all, macular hole retinas A good way to get out of treatment.