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目的探讨在间接眼底镜直视下治疗孔源性视网膜脱离的临床效果。方法对27例(27眼)孔源性视网膜脱离患者行巩膜扣带术治疗,术中采用在间接眼底镜直视下定位裂孔、巩膜外冷凝、放视网膜下液、巩膜扣带或环扎术,术后观察裂孔封闭及网膜复位情况。结果术后随访3～12个月,27例(27眼)患者术后矫正视力改善22眼(81.48%),无改善4眼(14.81%),下降1眼(3.7%);23眼第1次手术视网膜复位良好,占85.19%;1眼术后裂孔未封闭,1眼遗漏小裂孔,调整加压物后均网膜复位;1眼巩膜穿孔和1眼新裂孔形成,行玻璃体切除术后,1眼复位良好,1眼再次复发网脱,总复位率96.29%。结论双目间接眼底镜直视下行巩膜扣带术治疗孔源性视网膜脱离,能准确定位、封闭裂孔,适量冷凝,使手术成功率高,是常规有效的治疗方法。
Objective To explore the clinical effect of indirect ophthalmoscope treatment of rhegmatogenous retinal detachment. Methods 27 cases (27 eyes) of rhegmatogenous retinal detachment were treated with scleral buckling surgery. In the surgery, we used indirect ophthalmoscope to locate the foramen, expose outside the sclera, subretinal fluid, scleral buckling or cerclage After operation, we observed the occlusion and omentum resection. Results The corrected visual acuity was improved in 22 eyes (81.48%), no improvement in 4 eyes (14.81%) and decreased in 1 eye (3.7%) in 27 eyes (27 eyes) The subretinal reattachment was good, accounting for 85.19%. One eye was not closed after operation, one was missing a small hole, and the pressure was adjusted after the retina were reset. One eye scleral perforation and one new eye were formed. After vitrectomy , A good reduction in 1 eye re-recurrence net off, the total reduction rate of 96.29%. Conclusions Binocular indirect ophthalmoscope direct scleral buckling surgery for rhegmatogenous retinal detachment can accurately locate, close the hole, the amount of condensation, so that the success rate of surgery is a routine and effective treatment.