Algvere P V, Gjötterberg M, Olivestedt G, Fituri S
Department of Ophthalmology, Karolinska Institute, Stockholm, Sweden.
Acta Ophthalmol (Copenh). 1992 Oct;70(5):632-6. doi: 10.1111/j.1755-3768.1992.tb02144.x.
Although scleral buckling yields good results in retinal reattachment surgery, we search for less laborious methods which could give the same high cure rate. Fifty-one consecutive patients with phakic, rhegmatogenous retinal detachment and breaks within 60 degrees of the upper retinal quadrants were treated by retino-cryopexy, drainage of subretinal fluid (under an operating microscope), and intravitreal injection of air (0.8 to 2.0 ml). Follow-up examinations (after 6 to 12 months) disclosed retinal reattachment in 44 of 51 eyes (86%). Cases with macular detachment showed good visual recovery, and 15 of 23 eyes (65%) achieved 0.5 (20/40) or more in visual acuity. Postoperatively, new retinal breaks occurred in 6%, proliferative vitreoretinopathy in 2%, and macular pucker also in 2%. Pneumatic retinopexy with air is an easy procedure, it is associated with few complications, and enables rapid postoperative recovery.
尽管巩膜扣带术在视网膜复位手术中能产生良好效果，但我们仍在寻找更简便的方法，以期能达到同样高的治愈率。连续51例有晶状体、孔源性视网膜脱离且裂孔位于视网膜上象限60度范围内的患者接受了视网膜冷冻疗法、视网膜下液引流（在手术显微镜下）及玻璃体内注入空气（0.8至2.0毫升）治疗。随访检查（6至12个月后）发现，51只眼中有44只（86%）视网膜复位。黄斑脱离的病例视力恢复良好，23只眼中有15只（65%）视力达到0.5（20/40）或更好。术后，6%出现新的视网膜裂孔，2%发生增生性玻璃体视网膜病变，2%出现黄斑皱襞。气体填充性视网膜固定术操作简便，并发症少，术后恢复快。
