Zhioua Raja, Taamallah Inès, Mili Ilhem N, Ouertani Amel
Tunis Med. 2002 Jun;80(6):334-7.
Subretinal fluid drainage during retinal surgery is a tricky manoeuver that remains controversial. In this study, we carried out a comparative retrospective study about 265 cases with retinal detachment that had a primary episcleral surgery. We compared the results of the group operated with subretinal fluid drainage (199 cases) to the group without (66 cases). The complications met were retinal haemorrhages in 14 cases (7%) and retinal incarceration in one case (0.5%). Anatomical results were 91.45% in the group with drainage and 93.93% in the group without. There was no statistical difference between the two groups. The complications of the subretinal fluid drainage are extremely rare and have no repercussion if it is well checked. Subretinal fluid drainage remains the surgeon decision. It is achieved by most retinal surgeons (75%).
视网膜手术中的视网膜下液引流是一项棘手的操作，目前仍存在争议。在本研究中，我们对265例行原发性巩膜外手术的视网膜脱离病例进行了一项对比性回顾性研究。我们将行视网膜下液引流手术的组（199例）与未行该手术的组（66例）的结果进行了比较。遇到的并发症包括14例（7%）视网膜出血和1例（0.5%）视网膜嵌顿。引流组的解剖复位率为91.45%，未引流组为93.93%。两组之间无统计学差异。视网膜下液引流的并发症极其罕见，若检查得当则无不良影响。是否进行视网膜下液引流仍由外科医生决定。大多数视网膜外科医生（75%）会进行该操作。
