摘要
目的:观察分析巩膜扣带术不放液治疗陈旧性视网膜脱离的临床效果。方法:回顾分析我科46例(46眼)陈旧性视网膜脱离患者经巩膜扣带术不放液进行治疗。病例资料,男39例,女7例。年龄9~18岁15例,18~35岁20例,35岁以上11例。提供病史2mo^2a。视网膜下方2个象限浅脱离35眼占76%,其视网膜小圆孔、多筛孔36眼占78%,所有患者脱离的视网膜下均伴有黄色机化条索,46眼均行外路手术不放视网膜下液,采用单纯巩膜外加压16眼(35%),环扎联合加压30眼(65%)。结果:随访1~12mo,46眼中有44眼1次手术达到视网膜解剖复位(96%),术后矫正视力0.1以上36眼。结论:巩膜扣带术不放液治疗好发于青少年陈旧性视网膜脱离,简单有效。
AIM： To observe and analyze the clinical effects of scleral buckling without subretinal drainage on treatment of long-standing primary retinal detachment. METHODS： Forty-six cases （46 eyes） with longstanding primary retinal detachment treated by scleral buckling without subretinal drainage in our department were retrospectively analyzed. Of them, 39 cases were male and 7 cases were female. Fifteen cases were aged from 9 to 18 years old, 20 cases was in 18-30 years old, and 11 cases were more than 35 years old. The duration of the disease ranged from 2 months to 2 years. The bottom two quadrant shallow retinal detachment was in 35 eyes （76%）, the retinal small round hole or sieve-mesh appeared in 36 eyes （78%）. All cases had subretinal yellow-white organization cord, in which, 46 eyes underwent surgical operation without subretinal drainage, 16 eyes （35%） were adorpted simple scleral buckling and cerclage combined buckling was performed on 30 eyes （65%）. RESULTS： After 1-12 months of follow-up,44 eyes（96%） of 46 eyes obtained anatomic reattachment, postoperative corrected visual acuities were achieved 0.5 or better in 36 eyes. CONCLUSION. Scleral buckling without subretinal drainage is an effective and simple surgical method for treatment of long-standing retinal detachment in juvenile.
出处
《国际眼科杂志》
CAS
2008年第9期1926-1927,共2页
International Eye Science
