目的：观察玻璃体切除联合空气填充术治疗孔源性视网膜脱离的临床疗效，评价空气填充的有效性及安全性。

方法：对2017-08/2018-12就诊于遵义市第一人民医院的孔源性视网膜脱离并接受玻璃体切除联合空气填充术的患者30例30眼进行回顾性分析，观察术眼术前、术后1wk，1mo最佳矫正视力(BCVA，LogMAR)、眼压、术后视网膜复位情况及术后并发症情况等。

结果：术前，术后1wk，1mo BCVA分别为0.87±0.71、0.64±0.36、0.37±0.22，手术前后术眼BCVA有差异(F=3.74，P=0.047)。术前，术后1wk，末次随访眼压分别为13.61±3.57、15.74±4.84、14.05±2.88mmHg，手术前后眼压无差异(F=4.13，P=0.051)。术后1wk视网膜复位率97%(29/30)。术后OCT监测1眼出现持续视网膜下积液，术后3mo积液吸收。

结论：玻璃体切除联合空气填充术治疗孔源性视网膜脱离疗效确切，术后恢复快，提高视觉质量，同时减少患者经济负担。

METHODS: The clinical data of 30 eyes with primary rhegmatogenous retinal detachment(RRD)from 30 patients who received vitrectomy with intraocular air tamponade in Zunyi First People's Hospital from August 2017 to December 2018 were retrospectively analyzed. The best corrected visual acuity(BCVA)(LogMAR), intraocular pressure were evamined before surgery, 1wk and 1mo after surgery, while the retinal reattachment rate, intraoperative and postoperative complications were recorded.

RESULTS: The mean BCVA was significant different among before surgery, 1wk and 1mo after surgery(F=3.74, P=0.047), and the BCVA at 1wk and 1mo after surgery was evidently improved in comparison with before surgery(0.64±0.36 vs 0.87±0.71; 0.37±0.22 vs 0.87±0.71). The mean IOP was(13.61±3.57),(15.74±4.84)and(14.05±2.88)mmHg before surgery, 1wk and 1mo after surgery, showing no significant difference in IOP before and after operation(F=4.13, P=0.051). The retinal reattachment rate of retinal hiatus was 97%(29/30)1wk after operation. Postoperative OCT monitored 1 eye of persistent subomental effusion, which was absorbed 3mo after operation.

CONCLUSION: Vitrectomy combined with air tamponade is effective in the treatment of rhegmatogenous retinal detachment. It can improve visual quality, reduce complications related to silicone oil and reduce the economic burden of patients.