Friberg T R, Eller A W
Department of Ophthalmology, University of Pittsburgh School of Medicine, PA.
Ophthalmology. 1988 Feb;95(2):187-93. doi: 10.1016/s0161-6420(88)33196-9.
Using intravitreal gas injection of sulfur hexafluoride after retinopexy utilizing a binocular indirect ophthalmoscope argon laser delivery system, the authors treated 12 primary rhegmatogenous retinal detachments and 10 detachments which recurred after previous scleral buckle surgery. Topical anesthesia only was used in most of the cases (18 of 22). Detachments in all quadrants of the fundus were repaired. Twenty cases remained successfully attached after a minimum follow-up of 6 months. Two failures occurred early in eyes with primary retinal detachments and both were successfully repaired by conventional scleral buckling techniques. The authors found pneumatic retinal reattachment in conjunction with laser retinopexy to be particularly valuable in repairing secondary detachments, thereby avoiding conventional surgical reoperations.
作者使用双目间接检眼镜氩激光传输系统进行视网膜固定术后，向玻璃体内注射六氟化硫气体，治疗了12例原发性孔源性视网膜脱离和10例既往巩膜扣带术后复发的视网膜脱离。大多数病例（22例中的18例）仅采用表面麻醉。眼底各象限的视网膜脱离均得到修复。经过至少6个月的随访，20例患者视网膜成功复位。2例原发性视网膜脱离患者早期出现手术失败，二者均通过传统巩膜扣带技术成功修复。作者发现，气体性视网膜复位联合激光视网膜固定术在修复继发性视网膜脱离方面特别有价值，从而避免了传统的再次手术。
