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通过平坦部超声粉碎术移除侵入性米拉格尔巩膜扣带。

Removal of the intruding Miragel's scleral buckle by pars plana ultrasonic fragmentation.

作者信息

Cekiç Osman, Chang Stanley, Schiff William M, Barile Gaetano R

机构信息

Department of Ophthalmology, College of Surgeons and Physicians of Columbia University, Harkness Eye Institute, New York, New York 10032, USA.

出版信息

Am J Ophthalmol. 2005 Jan;139(1):209-10. doi: 10.1016/j.ajo.2004.07.032.

Abstract

PURPOSE

To introduce a surgical approach for removing intruded scleral buckle resulting from Miragel's implant.

DESIGN

Interventional case report.

METHODS

After cutting and releasing scleral band externally, a pars plana Fragmatome was used to break up and aspirate pieces of the Miragel's implant that had grown into the eye, filling the vitreous cavity.

RESULTS

The intruding Miragel's buckle was shaved to the plane of the retina without any complication. The retina was completely attached.

CONCLUSION

Use of ultrasonic fragmentation by a pars plana approach was effective in removing the intavitreally expanded buckling element without harming the retina.

摘要

目的

介绍一种用于移除因米雷凝胶植入物导致的巩膜扣带内陷的手术方法。

设计

介入性病例报告。

方法

在外部切断并松解巩膜带后,使用经平坦部玻璃体切割器破碎并吸出已长进眼内、填充玻璃体腔的米雷凝胶植入物碎片。

结果

将内陷的米雷凝胶扣带削至视网膜平面,无任何并发症。视网膜完全复位。

结论

经平坦部途径使用超声破碎法可有效移除玻璃体内扩张的扣带元件,且不损伤视网膜。

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