目的:探讨最小量巩膜外手术治疗PVRC2以下近视性原发性视网膜脱离(孔源性视网膜脱离)患者的治疗效果。方法:原发性视网膜脱离PVRC2以下的近视眼患者32例32眼,入院后1wk内,采用配戴小孔镜和体位治疗,裂孔周围堤坝式激光光凝。剩余视网膜下液不能吸收者行最小量巩膜外手术治疗。结果:本组病例经体位治疗网膜脱离范围缩小,再通过手术治疗,经过2～6mo随诊,无严重并发症发生,矫正视力、眼压均有显著提高,视网膜解剖复位。结论:最小量巩膜外手术是PVRC2以下的近视性原发性视网膜脱离患者的有效治疗方法。

·AIM:To analyze minimal outside scleral surgery for primary rhegmatogenous retinal detachment(RRD)concomitant myopia below PVR C2.·METHODS:The medical records of 32 patients(32 eyes)with RRD were retrospectively reviewed.Firstly,they were treated by body therapy and wearing pin-hole glasses in one week,then the retinal break were treated by laser.Minimal outside scleral surgery was used in the end.The intraoperative and postoperative best-corrected visual acuity and the intraocular pressure were recorded.And complications were evaluated.·RESULTS:After 2 to 6 months follow-up,postoperative best-corrected visual acuity and the intraocular pressure improved than that of preoperative.Total retinal anatomical attachment was achieved in 32 patients(32 eyes).No serious postoperative complications took place.·CONCLUSION:Minimal outside scleral surgery is effective for primary RRD concomitant myopia below PVR C2.·

R779.6