Garcia-Arumi J, Correa C A, Corcostegui B
Department of Ophthalmology, Universidad Autonoma de Barcelona, Spain.
Ophthalmologica. 1990;201(2):83-91. doi: 10.1159/000310132.
The injection of sulfur hexafluoride (SF6) or perfluoropropane (C3F8) was used as a method of internal tamponade in 43 eyes affected by retinal detachment due to macular hole. The technique of ocular hypotension prior to gas injection varied according to the characteristics of each case, using vitrectomy and SF6 30% in 8 cases (group 1), fluid-gas (SF6) exchange through the pars plana in 10 cases (group 2), paracentesis of the anterior chamber prior to injection of SF6 in 12 cases (group 3) and injection of C3F8 without drainage in 13 cases (group 4). Retinal reattachment was initially achieved in 87 (group 1), 83.3 (group 2), 100 (group 3) and 92.3% (group 4), but 4 recurrences yielded a 6-month follow-up cure of 75 (group 1), 75 (group 2), 91 (group 3) and 84% (group 4). Postoperative complications included proliferative vitreoretinopathy (7%), endophthalmitis (2.3%) and subretinal hemorrhage (2.3%). The use of intraocular gas tamponade appears to be a procedure with an acceptable complication rate in the treatment of retinal detachment due to macular hole. This study suggests the use of paracentesis and SF6 in phakic eyes, C3F8 in aphakic eyes and vitrectomy plus 30% SF6 in eyes with proliferative vitreoretinopathy or vitreoretinal traction adjacent to the macular hole.
对43例因黄斑裂孔导致视网膜脱离的患眼，采用注射六氟化硫（SF6）或全氟丙烷（C3F8）的方法进行眼内填充。气体注射前降低眼压的技术根据每个病例的特点而有所不同，8例（第1组）采用玻璃体切除术和30%的SF6，10例（第2组）通过睫状体扁平部进行液 - 气（SF6）交换，12例（第3组）在注射SF6前进行前房穿刺，13例（第4组）注射C3F8且不进行引流。视网膜最初复位率在第1组为87%、第2组为83.3%、第3组为100%、第4组为92.3%，但有4例复发，6个月随访时治愈率在第1组为75%、第2组为75%、第3组为91%、第4组为84%。术后并发症包括增生性玻璃体视网膜病变（7%）、眼内炎（2.3%）和视网膜下出血（2.3%）。眼内气体填充在治疗黄斑裂孔性视网膜脱离方面似乎是一种并发症发生率可接受的手术。本研究表明，对于有晶状体眼可采用前房穿刺和SF6，无晶状体眼采用C3F8，对于有增生性玻璃体视网膜病变或黄斑裂孔附近有玻璃体视网膜牵拉的患眼采用玻璃体切除术加30%的SF6。
