摘要
目的:探讨影响孔源性视网膜脱离外路手术术后视功能恢复的因素。方法:回顾分析169例孔源性视网膜脱离行巩膜外路手术患者、术后观察视网膜复位情况、视力及并发症。结果:术后并发网膜下出血3例,玻璃体出血2例,玻璃体混浊加重18例,青光眼9例,白内障2例,增殖性玻璃体视网膜病变(PVR)形成和加重23例。患者手术解剖复位率达92.3%,术后视力有所提高,但视功能恢复不理想。结论:视网膜脱离巩膜外路手术术后视功能恢复受多种因素的影响,包括患者年龄,视网膜脱离的时间、范围,PVR的程度,是否累及黄斑区及程度,术中冷凝的量,放液,屈光的改变,术后并发症等。
Objective：To investigate the factors influencing the visual function of patients undergoing scleral buckling for treatment of rhegmatogenous retinal detachment. Methods： The clinical data of 169 eyes of rhegmatogenous retinal detachment were analyzed retrospectively. All the cases were treated by scleral buckling surgery. The postoperative retina reattachment, visual acuity and comphcations were observed. Results：Postoperative submacu｜ar hemorrhage occurred in 3 eyes, vitreous hemorrhage in 2 eyes,increased vitreous opacity in 18 eyes, glaucoma in 9 eyes, cataract in 2 eyes and the formation and increase of proliferative vitreo retinopathy （PVR） in 23 eyes. The ratio of retinal restoration in surgical treatment of rhegmatogenous detachment of retina was above 92.3%. The visual acuities were improved, but the visual function after surgery was not satisfactory. Conclusions：The improvement of visual function is affected by many factors, including the patients＇ age, the duration and scope of retinal detachment, the extent of PVR, the duration of macular detachment,the amount of intraoperative condensation, the drainage subretinal fluid, the change in the refractive state and the postoperative complications.
出处
《蚌埠医学院学报》
CAS
2008年第4期409-411,共3页
Journal of Bengbu Medical College
关键词
视网膜脱离
巩膜外路手术
视功能
retinal detachment
external-route surgery
visual function
