摘要
视网膜脱离是一种常见的致盲性眼病,以原发性孔源性视网膜脱离最为常见,通常需要手术治疗,手术包括巩膜扣带术和玻璃体切除手术两种方式,虽然玻璃体手术日渐成为一种趋势,但目前巩膜扣带术在临床仍然应用广泛,尤其对于单纯孔源性视网膜脱离,巩膜扣带术仍可作为首选。巩膜扣带术包括巩膜外加压术、巩膜环扎术以及巩膜环扎联合外加压术等术式,巩膜扣带术具有操作简单、创伤小、比较经济等优点,但常常引起术后屈光状态的变化,如眼轴延长、前房变浅、晶状体增厚均可引起近视,眼轴缩短可导致远视,角膜形态变化引起散光。该文对巩膜扣带术后的屈光改变以及原因进行综述。
Retinal detachment is acommon eye disease that leads to blindness. Primary rhegmatoge-nous retinal detachment is the most common form of retinal detachment. Surgical apprbuckling surgery and vitrectomy are frequently employed. Although vitrectomy is becoming widespread , scleral buckling surgery is still widely performed in clinical settings , which is the primary treatment of rretinal detachment. Scleral buckling surgery consists of segmental scleral buckling surgery , scleral encirclingsurgery and scleral encircling combined with segmental buckling surgery- Scleral buckling surgery is economicaland convenient to operate , and induces small trauma. However , it constantly leads to postoperative chanthe refraction , axial extension,shallow anterior chamber and thickening of the lens , which can cause myopia.Axial shortening may lead to hyperopia. Astigmatism is mainly caused by corneal morphological changes. Inthis article , the incidence and cause of refractive changes after scleral buckling surgery were summarized.
出处
《新医学》
2017年第10期683-687,共5页
Journal of New Medicine
基金
吉林省科技发展计划项目(20160101094JC)
吉林省卫生计生委2016年卫生服务能力提升项目(3D5172173429)
关键词
视网膜脱离
环扎
外加压
屈光
Retinal detachment
Encircling
Segmental buckling
Refraction
