Langmann G
Augenklinik der Medizinischen Universität Graz, Graz, Austria.
Klin Monbl Augenheilkd. 2004 Mar;221(3):160-74. doi: 10.1055/s-2004-812722.
In view of diverging opinions for retinal detachment surgery (pneumatic retinopexy or buckling procedure with or without drainage versus primary vitrectomy without external buckling) pneumatic retinopexy, orbital balloon, buckling procedures (sponge, encircling band) are discussed with a short historical background and a brief description of current technology. Pros and cons of the individual technique are discussed on the basis of monographs and articles. From the repertoire of a retinal surgeon typical case examples are presented, different operation methods discussed, advantages and disadvantages of each individual technique emphasized. A goal of the work is to provide a practicable manual for the less experienced surgeon and the expert, who experiences an increasing trend to vitrectomy techniques instead of the conventional buckling procedures.
鉴于视网膜脱离手术存在不同观点(气性视网膜固定术或有或无引流的巩膜扣带术与无外加压的一期玻璃体切除术),本文结合简短的历史背景和当前技术简述,对气性视网膜固定术、眼眶球囊、巩膜扣带术(海绵、环扎带)进行了讨论。基于专著和文章探讨了每种技术的优缺点。从视网膜外科医生的全部技能中列举了典型病例,讨论了不同的手术方法,强调了每种技术的优缺点。这项工作的一个目标是为经验不足的外科医生以及倾向于采用玻璃体切除术而非传统巩膜扣带术的专家提供一本实用手册。