摘要
目的：为分析黄斑孔合并周边裂孔视网膜脱离病例病情特点、治疗方法及预后的影响因素。方法：对５７只眼选用单纯气液交换，环扎加压，或玻璃体切割联合眼内注气手术方法，部分病例予以激光辅助治疗。结果：患眼视网膜总复位率达８６％（４９／５７），一次手术复位３８只眼（占６７％）。视力提高３６只眼（占６３％），未变１０只眼，下降３只眼，激光治疗眼视力恢复无影响。结论：严重ＰＶＲ、术前病程长、高度近视、后极部裂孔、并发脉络膜脱离是影响手术成功的重要因素。术前检查不遗漏裂孔，选择合适的手术方式，及时封闭裂孔，预防膜增殖是成功的关键。
Subjects:To evaluate preoperative characteristics and variations in surgical technique that may influence outcome of retinal detachment due to macular hole and peripheral retinal tears.Methods:57 patients underwent gas-fluid exchange,scleral buckling or vitrectomy combined with gas tamponade.Some of them accepted laser photocoagulation.Results:Anatomic success was achieved in 86%(49/57).38eyes(67%) got retinal reattachment after only one operation.The vision improved in 36 eyes (63%).Laser photocoagulation had no effect on postoperational visual acuity.Conclusions:The main reasons of failure were due to severe PVR,older holes,high degree of myopia,post retinal tears and choroidal detachment,Keys to the success are careful examination and proper surgical techniques to seal the holes and to prevent PVR.
出处
《中国实用眼科杂志》
CSCD
1999年第5期291-293,共3页
Chinese Journal of Practical Ophthalmology
