Stewart Stephen, Chan Wing
Department of Ophthalmology, Royal Victoria Hospital, Belfast, UK.
Clin Ophthalmol. 2018 Mar 16;12:493-502. doi: 10.2147/OPTH.S137607. eCollection 2018.
Pneumatic retinopexy is a minimally invasive, non-incisional procedure for repairing retinal detachment. This procedure is associated with reduced morbidity, reduced cost and faster postoperative recovery compared to pars plana vitrectomy and scleral buckling. Superior visual acuity outcomes have also been reported. Intraoperative complications are primarily related to the intraocular pressure rise caused by gas injection, or the misdirection of the gas. There is a low rate of postoperative complications. Anatomic success rates of over 90% can be achieved when strict selection criteria are applied. However, a number of studies have revealed good outcomes in cases with expanded clinical indications. Pneumatic retinopexy is currently underutilized. With appropriate patient selection, a high success rate can be achieved, and therefore, this procedure has an important role in the armamentarium of the vitreoretinal surgeon.
气体视网膜固定术是一种用于修复视网膜脱离的微创、非切开手术。与玻璃体切割术和巩膜扣带术相比，该手术具有发病率降低、成本降低和术后恢复更快的特点。也有报告称其视力预后较好。术中并发症主要与气体注入引起的眼压升高或气体误入有关。术后并发症发生率较低。当应用严格的选择标准时，解剖成功率可超过90%。然而，一些研究表明，在临床适应症扩大的病例中也有良好的结果。气体视网膜固定术目前未得到充分利用。通过适当选择患者，可以获得较高的成功率，因此，该手术在玻璃体视网膜外科医生的治疗手段中具有重要作用。
