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目的 :探讨“无裂孔性”视网膜脱离的定义、分类及临床治疗。方法 :对 72例 ( 72眼 )术前未查见裂孔的视网膜脱离患者 ,根据病因分别进行巩膜外环扎加压并联合或不联合玻璃体切割术。结果 :随访半年至一年 ,45例术前未查见裂孔的原发性网脱者中有 2例视网膜未能复位 ,余均复位良好 ;3例渗出性网脱经药物及手术治疗后好转 ;2 4例牵引性网脱中有 1例最终眼球萎缩 ,余复位良好。结论 :对“无裂孔性”视网膜脱离术前不应一味寻找裂孔而延误手术时机 ,应根据不同病因尽早采取相应措施 ,手术以简单为原则 ,必要时采用联合手术 ,使视网膜最大限度的解剖复位和功能恢复
Objective: To investigate the definition, classification and clinical treatment of “non-septic” retinal detachment. Methods: 72 patients (72 eyes) without preoperative retinal detachment were scleral buckled and combined with or without vitrectomy according to the cause. Results: During the follow-up period of six months to one year, the retina failed to be repaired in 2 of the 45 primary retinal detachments without preoperation, and the rest were well repaired. Three patients with exudative net dysmenorrhea and surgery Improved; 24 cases of traction net off in 1 case of the final eye atrophy, I reset well. Conclusions: The timing of operation should not be blindly searched for before the operation of “non-securable” retinal detachment. The corresponding measures should be taken according to different causes as soon as possible. The operation should be simple and the surgery should be combined if necessary to maximize the anatomic reduction of the retina And functional recovery