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目的总结显微镜直视下治疗非复杂性裂孔性视网膜脱离手术的临床经验。方法对27例非复杂性裂孔性视网膜脱离27只患眼,先预置硅胶块和(或)环扎带,然后在显微镜直视下完成排视网膜下液、视网膜裂孔定位、视网膜冷凝、检查裂孔位置,术后观察视力、视网膜复位情况及并发症。结果一次手术后视网膜视网膜复位率92%(25只眼),仅有两只眼由于视网膜脱离需再次手术。末次随诊最佳矫正视力和术前相比有明显的提高:<0.1者5只眼,占(18.5%),0.3-0.5者15只眼,占(55.5%),>0.5者7只眼,占(25.9%)。未见到严重的并发症发生。结论显微镜下放液、定位、冷凝治疗非复杂性裂孔性视网膜脱离手术具有操作简单、方便、直视、效果良好等优点,尤适于初学者应用。
Objective To summarize the clinical experience of under-microscope treatment of non-complex retinal detachment surgery. Methods Seventy-seven cases of non-complex retinal detachment from 27 eyes were treated with silica gel block and / or cable tie. The subretinal fluid, retinal breaks, retinal condensation, Location, postoperative visual acuity, retinal reattachment and complications. Results Retinal retinal reattachment rate was 92% (25 eyes) after one operation, and only two eyes required reoperation due to retinal detachment. The best corrected visual acuity in the last follow-up was significantly higher than that in the preoperative period: <0.1, 5 eyes (18.5%), 0.3-0.5, 15 eyes (55.5%),> 0.5 eyes, 7 eyes , Accounting for 25.9%. No serious complications were seen. CONCLUSION: It is a simple, convenient, direct-view, good effect and so on, which is especially suitable for beginners applications.