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视网膜脱离手术对已存在的开角型青光眼病程的影响。

Effect of retinal detachment surgery on the course of preexisting open-angle glaucoma.

作者信息

Friedman Z, Neumann E

出版信息

Am J Ophthalmol. 1975 Oct;80(4):702-5. doi: 10.1016/0002-9394(75)90403-1.

DOI:10.1016/0002-9394(75)90403-1
PMID:1180310
Abstract

In 11 of 12 eyes with chronic simple glaucoma after surgery for retinal detachment, intraocular pressures were decreased for one to 5 1/2 years without any antiglaucomatous treatment. No further deterioration in the state of the optic disks or the visual fields occurred in any of these eyes. In all 12 fellow eyes antiglaucomatous treatment is still being administered. The operation employed in nine of the 11 cases consisted of an encircling silicone rubber band shortened by 15 to 20% of its length when placed around the eyeball before tapping subretinal fluid. An episcleral silicone implant was placed under the encircling ban in seven of these eyes. Kinking and possibly narrowing of the long posterior ciliary arteries by the encircling silicone band probably caused the ciliary hyposecretion and the resultant hypotony.

摘要

在12例视网膜脱离手术后患有慢性单纯性青光眼的患者中,有11例在未进行任何抗青光眼治疗的情况下,眼压降低了1至5年半。这些眼睛中没有任何一只出现视盘或视野状态的进一步恶化。所有12例对侧眼仍在进行抗青光眼治疗。11例中的9例所采用的手术包括在放出视网膜下液之前,围绕眼球放置一条硅橡胶带,并将其长度缩短15%至20%。其中7只眼在环绕带下方放置了巩膜外硅植入物。环绕的硅橡胶带可能导致长后睫状动脉扭结并可能变窄,从而引起睫状体分泌减少和随之而来的低眼压。

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引用本文的文献

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Incidence and Risk Factors for Intraocular Pressure Rise after the Scleral Buckle Surgery for Retinal Detachment.视网膜脱离巩膜扣带术后眼压升高的发生率及危险因素
J Curr Ophthalmol. 2022 Jan 6;33(4):444-448. doi: 10.4103/joco.joco_108_21. eCollection 2021 Oct-Dec.
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Changes in corneal sensation following 20 and 23 G vitrectomy in diabetic and non-diabetic patients.糖尿病患者和非糖尿病患者行20G和23G玻璃体切除术后角膜感觉的变化。
Eye (Lond). 2014 Nov;28(11):1286-91. doi: 10.1038/eye.2014.156. Epub 2014 Jul 18.
3
Tonic Pupil and Corneal Anesthesia after Vitrectomy and Encircling Band for Retinal Detachment in an Ex-Premature Child.
一名早产患儿视网膜脱离行玻璃体切除术及环扎术后的强直性瞳孔和角膜麻醉
Case Rep Ophthalmol. 2010 Sep 29;1(2):66-70. doi: 10.1159/000321250.
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Effects of the encircling procedure on the aqueous flow rate in retinal detachment eyes: a fluorometric study.环扎术对视网膜脱离眼房水流量的影响:一项荧光测定研究。
Br J Ophthalmol. 1987 Jul;71(7):510-5. doi: 10.1136/bjo.71.7.510.