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  標題:眼科手術顯微鏡直視下裂孔性視網膜脫離手術治療的臨床觀察
    

眼科手術顯微鏡直視下裂孔性視網膜脫離手術治療的臨床觀察
賴一凡  李瑞蓮  幸曉華


【摘要】 

目的   觀察眼科手術顯微鏡直視下行裂孔性視網膜脫離鞏膜扣帶手術的治療效果及介紹手術方法。
方法   對39例裂孔性視網膜脫離患者的39隻眼採用眼科手術顯微鏡直視下先行鞏膜外放液、視網膜裂孔及變性區定位、冷凝,然後預置縫線,最後結紮硅壓膠和鞏膜環紮縫線。術後觀察視力、眼壓和視網膜復位情況。
結果   一次手術復位成功37眼,佔94.87%,再行玻璃體聯合白內障手術後復位1眼。所有患者均無嚴重手術並發症。視力提高25眼,不變14眼。
結論   眼科手術顯微鏡直視下行裂孔性視網膜脫離鞏膜扣帶手術雖具有手術視野清晰、療效可靠、安全等優點 ,但對後極部視網膜裂孔引起的視網膜脫離不建議使用。

 

【關鍵詞】 視網膜脫離;顯微手術


Microsopic sugery for the treatment of rhegmatogenous retinal detachment
LEI Soi Lin, LAI Iat FAn, HANG Hiu Wa. Ophthalmic center, Kiang Wu Hospital, Macau

 

[Abstract] 

Objective       To observe the effect of scleral buckling in microsurgery for the treatment of rhegmatogenous retinal detachment.
Methods        Thirty-nine cases (39 eyes) of rhegmatogenous retina1 detachment were performed with scleral buckling by microscope.Under the surgical microscopy, draining subretinal fluid, the cryotherapy of retinal breaks and retinal degeneration, the preplacement of silicone and encircling were performed in turn. The recovery of the visual acuity and the intraocular pressure and retinal reattachment of the patients were observed after operation.
Results       Thirty-seven cases (94.87%) got retinal reattachment in first surgical procedure. One eye got reattachment after an additional vitreoretinal surgery (pars plana vitrectomy combined with Phaco). There were no serious operative complications. The visual acuity was improved in 25eyes, the same as no change in 14 eyes. No eye’s visual acuity was lowered.
Conclusion  The scleral buckling in microscopic surgery for the treatment of rhegmatogenous retinal detachment is magnification ,precise location of scleral sutures, identification and avoidance of vessels. The procedures are simple, convenient, easy to master, reliable, and safe. It is not recommended to be used on posterior retinal tear.

 

[Key Words]  retinal detachment; microsurgery

 

 
   

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