一种用于治疗脉络膜相贴性脱离时脉络膜上腔液体引流的改良方法。
A modified method for suprachoroidal fluid drainage in kissing choroidal detachment.
作者信息
Hu Zi-Zhong, Liu Qing-Huai, Ding Yu-Zhi, Su Yun, Ji Jiang-Dong
机构信息
Department of Ophthalmology, the First Affiliated Hospital of Nanjing Medical University, Nanjing 210029, Jiangsu Province, China.
Department of Ophthalmology, Zhongda Hospital Southeast University, Nanjing 210009, Jiangsu Province, China.
出版信息
Int J Ophthalmol. 2020 Feb 18;13(2):346-348. doi: 10.18240/ijo.2020.02.20. eCollection 2020.
AIM
To introduce a new method for suprachoroidal fluid drainage before 23-gauge pars plana vitrectomy.
METHODS
A 15° side-port blade was firstly used to create a sclerotomy into the suprachoroidal space for initial drainage. A 30-guage needle was then applied to inject balanced saline solution through the existing sclerotomy for further drainage. After most of the suprachoroidal fluid was drained, standard 3-port 23-guage pars plana vitrectomy was performed.
RESULTS
We have succeeded in using this technique to treat five patients with retinal detachment and kissing choroidal detachment (KCD). The choroidal detachment was visibly recessed in all cases after drainage with no intraoperative complications. After removal of silicon oil at 3mo follow-up, all patients obtained a reattached retina. No postoperative complications such as hypotony and endophthalmitis occurred.
CONCLUSION
The new technique is efficient and safe for suprachoroidal fluid drainage for patients with rhegmatogenous retinal detachment. In future, further larger series are needed to attest to its safety and efficacy.
目的
介绍一种在23G玻璃体切割术前进行脉络膜上腔液体引流的新方法。
方法
首先使用15°侧切口刀片在巩膜上切开一个切口进入脉络膜上腔进行初始引流。然后应用30G针头通过现有的巩膜切口注入平衡盐溶液进行进一步引流。在大部分脉络膜上腔液体引流后，进行标准的三通道23G玻璃体切割术。
结果
我们成功地使用该技术治疗了5例视网膜脱离合并脉络膜脱离（KCD）患者。引流后所有病例的脉络膜脱离均明显消退，术中无并发症。在3个月随访时取出硅油后，所有患者视网膜均重新附着。未发生低眼压和眼内炎等术后并发症。
结论
新技术对于孔源性视网膜脱离患者的脉络膜上腔液体引流是有效且安全的。未来，需要更大规模的系列研究来证实其安全性和有效性。
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