摘要
目的探索利用23G经结膜无缝线玻璃体切割手术治疗巩膜扣带术失败的视网膜脱离患者的可行性及对眼表结构的保护作用。方法8例患者8只眼接受手术，均使用Alcon公司的一步法穿刺套管。所使用的眼内手术器械是Alton的23G专用器械，手术是在Zeiss200P手术显微镜下使用AlconAccuras400高速玻璃体切割平台下进行。术毕均充填20％的C3F8。结果8例患者术后切口闭全良好无渗漏，术后3d有3例患者出现了轻度低眼压，3d后恢复正常。视网膜I期复位。除了结膜下的轻度的出血外，无其他并发症发生；眼表结构保持完整，无新的瘢痕形成。术后3个月内有2例患者诉轻度的眼内异物感，其他患者未诉不适。结论23G经结膜无缝线玻璃体切割手术能有效治疗巩膜扣带手术失败后的视网膜脱离，且有利于维持眼表结构的完整性。
Objective To evaluate the feasibility of 23G transconjunctival sutureless vitrectomy （23G TSV） in treatment of rhegmatogenous retinal detachment after scleral buckling failed, and to explore whether the operation is helpful to protect the structure of ocular surface. Methods Eight patients with rhegmatogenous retinal detachment after scleral buckling failed were subject to operation, and the Alcon operation platform and the 23G TSV system were used. Results Retinal reattachment was achieved in all patients after surgery, and no serious complication occurred except for the mild subconjunctival hemorrhage. Furthermore, the struc- ture integrity of ocular surface was maintained, and no new scar was formed. Conclusions 23G TSV is a useful technique for treating rhegmatogenous retinal detachment after scleral buckling failed, and it may be favorable to protect the structure of ocular surface.
出处
《中国实用眼科杂志》
CSCD
北大核心
2011年第6期587-589,共3页
Chinese Journal of Practical Ophthalmology
