目的:探讨不放液巩膜外加压术治疗陈旧性视网膜脱离的临床疗效。方法:回顾性分析不放液单纯巩膜外加压术治疗32例32眼陈旧性视网膜脱离的临床病例资料,观察术后最佳矫正视力、手术并发症和视网膜复位情况。结果:术后随访6～12(平均9.2)mo,最佳矫正视力>0.1者17例17眼,2例2眼术后短期内眼压升高,首次手术解剖复位30例30眼,成功率94%。2例2眼术后视网膜下增殖继续发展,行玻璃体切除术后视网膜复位。结论:不放液巩膜外加压术对视网膜下增殖不严重的陈旧性视网膜脱离简单有效。

AIM:To explore the results of scleral buckling procedure without subretinal fluid drainage for old retinal detachment.METHODS: Clinical data of 32 patients (32 eyes) with old retinal detachment who underwent scleral buckling procedure without subretinal fluid drainage were retrospectively analyzed. Best-corrected visual acuity(BCVA),intraocular pressure(IOP),surgery complications and retinal redetachment were examined . RESULTS: The follow-up duration was 6 months to 12 months postoperatively,mean 9.2 months. BCVA of 17 eyes was more than 0.1. IOP of 2 eyes increased in short time after surgery. Retina was completely reattached in 30 eyes (94%).Subretinal proliferative membrane in 2 eyes which continued to worsen after scleral buckling were achieved by vitrectomy.CONCLUSION:Scleral buckling procedure without subretinal fluid drainage is a simple and efficient surgery for the treatment of old retinal detachment without seriously subretinal proliferative membrane.

R779.6