Ghoraba H H
Maghrabi Eye Hospital, Tanta, Egypt.
Graefes Arch Clin Exp Ophthalmol. 2001 Oct;239(10):733-6. doi: 10.1007/s004170100345.
To evaluate the role and the results of primary vitrectomy in treating cases with coexisting rhegmatogenous retinal detachment and choroidal detachment.
Eleven consecutive eyes with coexisting rhegmatogenous retinal detachment and choroidal detachment with proliferative vitreoretinopathy less than grade C were included. Release of traction on the breaks was achieved by vitrectomy and augmented by episcleral buckle if needed. Perfluorocarbon liquids were used to drain the subretinal fluid through the vitrectomy sclerotomies. The breaks were treated by endolaser under perfluorocarbon liquids. Postoperative tamponade was done by C3F8 gas or silicone oil. Cases were followed up for at least 3 months.
Retinal reattachment could be achieved and maintained in all cases by one or more surgeries. No recurrence of choroidal detachment has occurred. In each case, choroidal detachment was drained through the sclerotomies and retinal detachment was repaired.
Primary vitrectomy represents an effective line in the management of rhegmatogenous retinal detachment with coexisting choroidal detachment in phakic or nonphakic eyes.
Primary vitrectomy is recommended for the management of choroidal detachment associated with retinal detachment.
评估原发性玻璃体切除术在治疗孔源性视网膜脱离合并脉络膜脱离病例中的作用及效果。
纳入11例连续的孔源性视网膜脱离合并脉络膜脱离且增生性玻璃体视网膜病变小于C级的患眼。通过玻璃体切除术解除裂孔处的牵拉，必要时联合巩膜外加压术增强效果。使用全氟碳液体经玻璃体切除巩膜切口引流视网膜下液。在全氟碳液体下用视网膜激光光凝术治疗裂孔。术后用C3F8气体或硅油进行眼内填充。对病例进行至少3个月的随访。
所有病例经一次或多次手术均能实现并维持视网膜复位。脉络膜脱离无复发。每例中，脉络膜脱离经巩膜切口引流，视网膜脱离得以修复。
原发性玻璃体切除术是治疗有晶状体或无晶状体眼孔源性视网膜脱离合并脉络膜脱离的有效方法。
对于合并视网膜脱离的脉络膜脱离，推荐采用原发性玻璃体切除术进行治疗。
