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目的 :评价玻璃体切除术治疗复发性复杂性视网膜脱离的效果。方法 :对 5 6例 (5 7眼 )复发性复杂性视网膜脱离患者行玻璃体切除联合眼内激光或冷冻、惰性气体或硅油眼内充填治疗 ,术后密切观察随访 3～ 2 4个月 (平均 9.6个月 )。结果 :玻璃体切除术后全部视网膜解剖复位 ,最后随访时的视网膜复位率 91.2 % (5 2 / 5 7眼 )。视网膜复位眼最后视力均有不同程度的提高 ,达 0 .0 2～ 0 .7。手术并发症主要有医源性裂孔、暂时性高眼压、白内障。结论 :玻璃体切除术治疗复发性复杂性视网膜脱离有良好的疗效 ,适当的病例选择与手术的精心操作对提高手术成功率 ,降低手术并发症至关重要。
Objective: To evaluate the effect of vitrectomy on recurrent complex retinal detachment. Methods: 56 cases (57 eyes) of recurrent complex retinal detachment underwent vitrectomy combined with intraocular laser or freezing, inert gas or silicone oil intraocular filling. The patients were followed up for 3 ~ 24 months (mean 9.6 months). Results: All the vitreoretinal resection of the anatomical reduction, the final follow-up retinal reattachment rate of 91.2% (52/57 eyes). Retinal reattachment eye final visual acuity improved to varying degrees, up to 0 .0 2 ~ 0 .7. Complications of surgery mainly iatrogenic hiatus, temporary intraocular hypertension, cataracts. Conclusion: The vitrectomy has a good curative effect in the treatment of recurrent complicated retinal detachment. Appropriate case selection and careful operation of the operation are very important to improve the success rate of operation and reduce the complications of operation.