摘要
目的探讨先天性脉络膜缺损合并视网膜脱离的病理机制和手术治疗效果。方法对1996年1月～2002年11月在我院连续性治疗的24例(26只眼)患先天性脉络膜缺损合并视网膜脱离的患者进行研究分析,其中13只眼行巩膜冷冻、硅胶外垫压、、环扎、眼内注气术,另13只眼行玻璃体切除和二级管眼内光凝术。结果经过2～80个月随访,平均37.6个月。巩膜扣带术的近期成功率和远期手术成功率分别为46.2％和38.5％；玻璃体切除术的近期手术成功率和远期手术成功率均为92.3％。结论了解先天性脉络膜缺损合并视网膜脱离的病理机制有利于手术方式的选择,玻璃体切除联合二极管眼内光凝和硅油填充手术,能获得较好的手术成功率和较好的术后视力。
Objective To evaluate pathological mechanism and surgical management of retinal detachment with congenital choroidal coloboma. Methods This study retrospectively analysis 24 cases （26 eyes） retinal detachment with congenital choroidal coloboma during 1996,1 ～2002,11 cured with scleral buckling or vitreoectomy. Result Vitrectomy were pedormed in 13 eyes of 26 eyes, 12 eyes （92.3%） have success retachment, ; another 13 eyes pedormed with sleral buckling, 6 eyes （46.2%） have success retachment. Conclusion It is important to know the pathological mechanism of retinal detachment with congenital choroidal coloboma and do good for ophthalmologist to select surgical pattern. This study shows that vitreoectomy has higher surgical success rate and better visual acuity than scleral buckling group.
出处
《临床眼科杂志》
2005年第6期500-502,共3页
Journal of Clinical Ophthalmology
