Joondeph B C, Flynn H W, Blankenship G W, Glaser B M, Stern W H
Bascom Palmer Eye Institute, Miami, FL 33136.
Am J Ophthalmol. 1989 Nov 15;108(5):548-53. doi: 10.1016/0002-9394(89)90432-7.
In 18 eyes of 17 patients, we treated retinal detachment caused by a giant retinal tear by unfolding and repositioning the retina with a cannulated extrusion needle. After pars plana vitrectomy, a fluid-gas exchange was performed with the patient in the supine position. Using the cannulated extrusion needle to drain subretinal fluid posterior to the giant retinal tear, the retinal flap was manipulated into the correct anatomic position. With this technique, 18 of 18 eyes with retinal detachment caused by a giant retinal tear were successfully reattached intraoperatively. Although eight of these eyes subsequently redetached and required additional surgical procedures, 16 of 18 eyes remain attached with a mean follow-up of 11 months.
在17例患者的18只眼中，我们通过使用套针挤压针展开并重新定位视网膜，治疗了由巨大视网膜裂孔引起的视网膜脱离。在平坦部玻璃体切除术后，患者仰卧位进行液-气交换。使用套针挤压针引流巨大视网膜裂孔后方的视网膜下液，将视网膜瓣操作到正确的解剖位置。采用该技术，18只由巨大视网膜裂孔引起视网膜脱离的眼中，有18只在术中成功复位。尽管其中8只眼随后再次脱离并需要额外的手术操作，但18只眼中有16只在平均11个月的随访期内保持复位状态。
