目的:探讨玻璃体切割术联合巩膜扣带治疗复杂性视网膜脱离的疗效。方法:采用玻璃体切割术联合巩膜扣带治疗复杂性视网膜脱离27例,分别为脉络膜脱离型视网膜脱离、病理性近视性视网膜脱离、玻璃体积血并视网膜脱离、增生性玻璃体视网膜病变、玻璃体切割术后视网膜脱离复发、硅油眼视网膜脱离复发。结果:一次手术复位24例,复位率89%。主要并发症有高眼压。结论:玻璃体切割术联合巩膜扣带是治疗复杂视网膜脱离的有效方法。

·AIM:To disscus the effect of the vitrectomy and scleral buckling for complicated retinal detachment.·METHODS:Totally 27 cases with complicated retinal detachment were treated by vitrectomy and scleral buckling,complicated retinal detachment included choroidal detachment associated with retinal detachment,pathological myopia associated with retinal detachment,vitreous hemorrhage with retinal detachment,proliferative vitreoretinopathy,recurrent retinal detachment after pars plana vitrectany,recurrent retinal detachment after silicone oil fill.·RESULTS:Retina was attached completely in 24 cases(89%).Complications included high intraocular pressure.·CONCLUSION:Vitrectomy and scleral buckling is an effective way to treat complicated retinal detachment.·

R779.6