视网膜脱离的玻璃体切除术治疗过程中视网膜下方裂孔的处理
Management of inferior retinal breaks during pars plana vitrectomy for retinal detachment.
作者信息
Tanner V, Minihan M, Williamson T H
出版信息
Br J Ophthalmol. 2001 Apr;85(4):480-2. doi: 10.1136/bjo.85.4.480.
Abstract
AIMS
To determine whether it is necessary to support inferior retinal breaks with a scleral explant during pars plana vitrectomy (PPV) for rhegmatogenous retinal detachment (RD).
METHODS
A prospective study was carried out on nine eyes of nine consecutive patients undergoing PPV for primary RD with associated inferior retinal breaks and no significant proliferative vitreoretinopathy.
RESULTS
Eight eyes were successfully reattached with a single operation. No cases presented with redetachment because of failed closure of the original inferior breaks.
CONCLUSIONS
It is not necessary to support inferior retinal breaks with a scleral explant during PPV for primary RD repair in selected cases.
摘要
目的
确定在进行玻璃体切割术（PPV）治疗孔源性视网膜脱离（RD）时，是否有必要使用巩膜外植体来支撑视网膜下方裂孔。
方法
对连续9例接受PPV治疗原发性RD且伴有视网膜下方裂孔且无明显增殖性玻璃体视网膜病变的患者的9只眼进行前瞻性研究。
结果
8只眼通过单次手术成功复位。没有病例因原视网膜下方裂孔闭合失败而出现再脱离。
结论
在某些选定病例中，进行PPV修复原发性RD时，没有必要使用巩膜外植体来支撑视网膜下方裂孔。
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