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[锯齿缘视网膜脱离所致视网膜脱离手术治疗方法的比较]

[Comparison of the methods of surgical treatment of retinal detachment caused by dialysis retinae at the ora serrata].

作者信息

Maćkowiak A, Szwarc C

机构信息

Kliniki Okulistycznej AM w Poznaniu.

出版信息

Klin Oczna. 1991 Oct-Nov;93(10-11):317-8.

PMID:1821022
Abstract

In the period of 1972-1973 in the Poznań Department of Ophthalmology were performed 23 operations of scleral infolding with diathermocoagulation in cases of ora serrata dialysis (giant tears were not included in this group). Fifteen years later 20 persons were called for examination. Examined were: the visual acuity, evaluation of the lens and the condition of the retina was checked by a tree-mirror lens with a particular attention for the site of infolding and the appearance of the macula. The 2d group consisted of 20 cases of ora serrata dialysis who underwent surgical procedure of scleral invagination with the use of Lincoff sponge in the form of a parallel implant--connected with cryopexy (period 1984-1985). After such a long time both methods showed to be successful in the term of anatomical effect (90-95%) instead the functional result depended on macular changes, the period of detachment, the character of the trauma, the presence of demarcation lines and on pigmentary changes of the retina.

摘要

1972年至1973年期间,在波兹南眼科科室对23例锯齿缘透析(本组不包括巨大裂孔)患者进行了巩膜折叠透热凝固术。15年后,对20人进行了检查。检查项目包括:视力、晶状体评估,并使用三面镜检查视网膜状况,特别注意折叠部位和黄斑外观。第二组由20例锯齿缘透析患者组成,他们在1984年至1985年期间接受了使用林肯海绵平行植入物进行巩膜内陷手术,并联合冷冻治疗。经过这么长时间,两种方法在解剖学效果方面(90% - 95%)均显示成功,而功能结果则取决于黄斑变化、脱离时间、创伤性质、分界线的存在以及视网膜色素变化。

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