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带套管的挤压针在玻璃体视网膜显微手术中的应用。

Applications of a cannulated extrusion needle during vitreoretinal microsurgery.

作者信息

Flynn H W, Davis J L, Parel J M, Lee W G

机构信息

Department of Ophthalmology, Bascom Palmer Eye Institute, University of Miami School of Medicine, Florida 33136.

出版信息

Retina. 1988;8(1):42-9. doi: 10.1097/00006982-198808010-00008.

DOI:10.1097/00006982-198808010-00008
PMID:3043604
Abstract

A specially designed cannulated extrusion needle facilitates the internal drainage of subretinal fluid during vitreoretinal microsurgery. Case histories demonstrate the use of this instrument in the management of complex retinal detachments including eyes with preretinal and subretinal hemorrhage, proliferative vitreoretinopathy with open peripheral retinal breaks, retinal detachment with giant retinal tear, and combined traction-rhegmatogenous detachments due to diabetic retinopathy. This method of internal drainage appears to have specific advantages over standard techniques by allowing the removal of subretinal hemorrhage, the utilization of pre-existing peripheral breaks for internal drainage, and the complete reattachment of shallow posterior pole retinal detachments to allow laser endophotocoagulation.

摘要

一种专门设计的带套管的挤压针便于在玻璃体视网膜显微手术中进行视网膜下液的内引流。病例记录显示了该器械在复杂视网膜脱离治疗中的应用,包括伴有视网膜前和视网膜下出血的眼睛、伴有周边视网膜开放性裂孔的增殖性玻璃体视网膜病变、伴有巨大视网膜裂孔的视网膜脱离以及糖尿病性视网膜病变所致的牵引性-孔源性联合视网膜脱离。这种内引流方法似乎比标准技术具有特定优势,它能够清除视网膜下出血,利用现有的周边裂孔进行内引流,并使后极部浅脱离的视网膜完全复位以便进行激光眼内光凝。

相似文献

1
Applications of a cannulated extrusion needle during vitreoretinal microsurgery.带套管的挤压针在玻璃体视网膜显微手术中的应用。
Retina. 1988;8(1):42-9. doi: 10.1097/00006982-198808010-00008.
2
Cannulated subretinal fluid aspirator for vitreoretinal microsurgery.用于玻璃体视网膜显微手术的带套管视网膜下液抽吸器。
Am J Ophthalmol. 1987 Jan 15;103(1):106-8. doi: 10.1016/s0002-9394(14)74182-0.
3
[Subretinal proliferation and rhegmatogenous retinal detachment].[视网膜下增殖与孔源性视网膜脱离]
J Fr Ophtalmol. 1993;16(4):235-40.
4
Vitreous surgery and retinal detachment.玻璃体手术与视网膜脱离
Int Ophthalmol Clin. 1976 Spring;16(1):169-93. doi: 10.1097/00004397-197601610-00015.
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Design features and surgical use of a cannulated extrusion needle.空心挤压针的设计特点及手术应用
Graefes Arch Clin Exp Ophthalmol. 1989;227(4):304-8. doi: 10.1007/BF02169401.
6
Clinical factors predisposing to massive proliferative vitreoretinopathy in rhegmatogenous retinal detachment.孔源性视网膜脱离中易发生严重增生性玻璃体视网膜病变的临床因素。
Ophthalmologica. 1984;188(3):148-52. doi: 10.1159/000309357.
7
Initial clinical experience with an erbium:YAG laser for vitreoretinal surgery.铒激光在玻璃体视网膜手术中的初步临床经验。
Am J Ophthalmol. 1996 Apr;121(4):414-25. doi: 10.1016/s0002-9394(14)70438-6.
8
[Micro-vitreoretinal surgery for the treatment of complicated retinal detachment].
Zhonghua Yan Ke Za Zhi. 1993 Jul;29(4):202-4.
9
The surgical management of giant retinal tears with the cannulated extrusion needle.使用套管挤压针治疗巨大视网膜裂孔的手术管理
Am J Ophthalmol. 1989 Nov 15;108(5):548-53. doi: 10.1016/0002-9394(89)90432-7.
10
Vitrectomy techniques in retinal reattachment surgery.视网膜复位手术中的玻璃体切割技术。
Ophthalmology. 1979 Apr;86(4):556-85. doi: 10.1016/s0161-6420(79)35485-9.

引用本文的文献

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Fibrinolysis of experimental subretinal haemorrhage without removal using tissue plasminogen activator.使用组织纤溶酶原激活剂对实验性视网膜下出血进行不清除的纤溶治疗
Br J Ophthalmol. 1996 Jul;80(7):658-62. doi: 10.1136/bjo.80.7.658.
2
New silicone tipped cannulas for subretinal fluid drainage.用于视网膜下液引流的新型硅胶头套管
Br J Ophthalmol. 1989 Oct;73(10):838-9. doi: 10.1136/bjo.73.10.838.
3
Design features and surgical use of a cannulated extrusion needle.空心挤压针的设计特点及手术应用
Graefes Arch Clin Exp Ophthalmol. 1989;227(4):304-8. doi: 10.1007/BF02169401.