Tardif Y M, Schepens C L, Tolentino F I
Arch Ophthalmol. 1977 Feb;95(2):229-34. doi: 10.1001/archopht.1977.04450020031005.
All patients were examined preoperatively and postoperatively by indirect ophthalmoscopy and biomicroscopy with a three-mirror lens. The average follow-up was eight months. Our technique of sclerotomy consisted of an incision parallel to the limbus, measuring 1.5 times the diameter of the surgical instrument. The pars plana location was always verified with transillumination. A mattress suture over the lips of the sclerotomy was used to prevent any leakage during the procedure. The intraoperative complications included ciliary body laceration (1%), retinal tears (8%), and vitreous base incarceration in the wound. The postoperative complications consisted of retina dragged into the wound (4%), vitreous tract left by the instrument (6%), neovascular ingrowth (6%), and external symptoms from the Dacron (32%) or polyglycolic acid (5%) suture. The rate of complications is considered low for such high-risk surgery.
所有患者在术前和术后均通过间接检眼镜和带三面镜的生物显微镜进行检查。平均随访时间为8个月。我们的巩膜切开术技术包括一个与角膜缘平行的切口，其长度为手术器械直径的1.5倍。总是通过透照法来确认扁平部的位置。在巩膜切开术切口边缘使用褥式缝线以防止手术过程中出现任何渗漏。术中并发症包括睫状体撕裂（1%）、视网膜裂孔（8%）以及玻璃体基底部嵌顿于伤口。术后并发症包括视网膜被拖入伤口（4%）、器械遗留的玻璃体条索（6%）、新生血管长入（6%）以及由涤纶（32%）或聚乙醇酸（5%）缝线引起的外部症状。对于这种高风险手术而言，并发症发生率被认为是低的。
