Ambler J S, Meyers S M, Zegarra H, Gutman F A
Department of Ophthalmology, Cleveland Clinic Foundation, Ohio 44195-5024.
Am J Ophthalmol. 1989 Feb 15;107(2):171-6. doi: 10.1016/0002-9394(89)90218-3.
We repaired six retinal detachments complicating degenerative retinoschisis by using simultaneous external subretinal fluid drainage and intraocular gas injection without a scleral buckle or vitrectomy. The outer wall breaks were 30 to 135 degrees in size, and in three cases, extended close to the arcade vessels. We achieved retinal reattachment and collapse of the schisis cavity at surgery in all six cases. In one case, the retina redetached postoperatively, but it was repaired with a scleral buckle and gas injection. This technique simplified the management of retinal detachments complicating degenerative retinoschisis, particularly those with large or posterior outer-layer breaks.
我们通过同时进行视网膜下液外引流和眼内注气，而不使用巩膜扣带或玻璃体切除术，修复了6例并发退行性视网膜劈裂的视网膜脱离。外壁裂孔大小为30至135度，3例裂孔靠近弓状血管。6例手术中均实现了视网膜复位和劈裂腔塌陷。1例术后视网膜再次脱离，但通过巩膜扣带和注气修复。该技术简化了并发退行性视网膜劈裂的视网膜脱离的治疗，尤其是那些有大的或后部外层裂孔的病例。
