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手术作为增生性玻璃体视网膜病变的主要治疗手段:一段反映我个人经历与偏见的历史。

Surgery as the primary management of proliferative vitreoretinopathy: a history reflecting my experiences and biases.

作者信息

Aaberg Thomas M

机构信息

Department of Ophthalmology, Emory University School of Medicine, Atlanta, GA 30322, USA.

出版信息

Arch Ophthalmol. 2010 Aug;128(8):1068-70. doi: 10.1001/archophthalmol.2010.150.

DOI:10.1001/archophthalmol.2010.150
PMID:20697011
Abstract

Although attempts were made ot reattach retinas using proliferative vitreoretinopathy by various techniques before the 1970s, it was the development and subsequent refinement of closed-eye, mechanized pars plana vitrectomy that initiated the rapid rise in the surgical success rate. This article presents a personal history of the milestone accomplishments that facilitated the strong possibility of success that patients with proliferative vitreoretinopathy can now anticipate. Currently, various gasses, chemical compounds, and pharmaceutical agents serve adjunctively to advance surgical techniques with the expectation that they may be the primary curative procedure in the future. As in the past, what is unconventional today may be common tomorrow.

摘要

尽管在20世纪70年代之前人们就尝试通过各种技术利用增殖性玻璃体视网膜病变来重新附着视网膜,但正是闭眼机械化玻璃体切割术的发展及其后续完善才使得手术成功率迅速提高。本文介绍了一系列具有里程碑意义的成就的个人经历,这些成就使得增殖性玻璃体视网膜病变患者现在有望获得很高的手术成功率。目前,各种气体、化合物和药物辅助推进手术技术,期望它们未来可能成为主要的治疗方法。就像过去一样,今天非传统的东西明天可能就会变得常见。

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Recurrent Rhegmatogenous Retinal Detachment: Characteristics, Risk Factors, and Outcomes.复发性孔源性视网膜脱离:特征、危险因素及预后
Ther Clin Risk Manag. 2025 Apr 1;21:425-440. doi: 10.2147/TCRM.S506037. eCollection 2025.
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Incidence and Risk Factors Affecting the Recurrence of Primary Retinal Detachment in a Tertiary Hospital in Spain.
西班牙一家三级医院原发性视网膜脱离复发的发病率及影响因素
J Clin Med. 2022 Aug 4;11(15):4551. doi: 10.3390/jcm11154551.
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Managing PVR in the Era of Small Gauge Surgery.小切口手术时代的增殖性玻璃体视网膜病变管理
J Ophthalmol. 2021 Dec 4;2021:8959153. doi: 10.1155/2021/8959153. eCollection 2021.