巩膜扣带术治疗孔源性视网膜脱离的临床观察

Clinical study on the treatment of rhegmatogenous retinal detachment by scleral buckling

摘要:

目的:观察巩膜扣带术治疗孔源性视网膜脱离的效果。方法:孔源性视网膜脱离患者94例96眼,术中直视下定位、冷凝视网膜裂孔。91眼行巩膜表面节段性外加压,其中37眼联合环扎术,另5眼单纯行环扎术。67眼进行了视网膜下液引流术,19眼在手术结束时行玻璃体腔气体充填。结果:90眼单次手术视网膜解剖复位,首次手术复位率94%,4眼再次手术后复位,手术最终解剖复位率98%。术中及术后无严重并发症发生。结论:巩膜扣带术治疗孔源性视网膜脱离安全有效。

Abstract:

AIM:To discuss the therapeutic effect, surgical indication of scleral buckling for rhegmatogenous retinal detachment (RRD). METHODS:The major surgery were as followed : retinal breaks locating, cryotherapy, scleral buckling or encir-cling scleral buckling. Ninety-four patients(ninety-six eyes) with RRD accepted surgery, including ninety-one eyes in segmental scleral buckling and five eyes in encircling scleral buckling. Among these cases sixtyseven eyes underwent subretinal fluid drainage and nineteen eyes with combined intravitreal gas filing. RESULTS:The rate of retinal reattachment after one surgical procedure was 94% and after two procedures was 98%. And there were no serious complications in operation and post-operation. CONCLUSION:Scleral buckling appears to be safe and effective in patients with RRD.