原发性玻璃体切除术治疗与脉络膜脱离相关的孔源性视网膜脱离。

Primary vitrectomy for rhegmatogenous retinal detachment associated with choroidal detachment.

作者信息

Zhao Xiaohui, Xing Yiqiao, Chen Ying

机构信息

Department of Ophthalmology, Renmin Hospital, Wuhan University, Wuhan 430060, China.

出版信息

Yan Ke Xue Bao. 2006 Sep;22(3):142-6, 206.

PMID:17162896

Abstract

PURPOSE

To evaluate the role and the anatomic and visual results of primary pars plana vitrectomy (PPV) in treating cases with rhegmatogenous retinal detachment associated with choroidal detachment.

METHODS

All patients were divided into 2 groups. Each group included 23 consecutive eyes with rhegmatogenous retinal detachment and choroidal detachment with proliferative vitreoretinopathy less than grade C. In the study group, controlled removal of vitreous traction was achieved by primary vitrectomy and augmented by scleral buckling if needed. The breaks were treated by focused endolaser coagulation. Postoperative tamponade was done by SF6 or C3F8 gas. In the control group, all patients underwent regular scleral buckling procedure. The cases were followed up for 6 to 12 months.

RESULTS

In the study group, retinal reattachment could be achieved in 21 cases (91.30%) after the first operation and in all cases after the second procedure. No occurrence of choroidal detachment occurred after the first procedure. Retinal reattachment rate and visual results tended to be better compared with conventional surgical techniques in the control group.

CONCLUSION

Primary vitrectomy represents a safe, effective method in the management of rhegmatogenous retinal detachment associated with choroidal detachment.

摘要

目的

评估原发性玻璃体切除术（PPV）在治疗孔源性视网膜脱离合并脉络膜脱离病例中的作用、解剖学及视觉效果。

方法

所有患者分为2组。每组包括23例连续的孔源性视网膜脱离合并脉络膜脱离且增生性玻璃体视网膜病变小于C级的患眼。研究组通过原发性玻璃体切除术实现对玻璃体牵拉的控制性解除，必要时辅以巩膜扣带术。裂孔采用聚焦式视网膜激光光凝治疗。术后用SF6或C3F8气体进行眼内填充。对照组所有患者均接受常规巩膜扣带术。对这些病例进行6至12个月的随访。