经玻璃体腔注射氰基丙烯酸酯视网膜固定术治疗复杂性视网膜脱离

McCuen B W, Hida T, Sheta S M, Machemer R

Department of Ophthalmology, Duke University Eye Center, Durham, North Carolina.

Trans Am Ophthalmol Soc. 1987;85:195-207.

Failures in vitreous surgery for complex vitreoretinal disorders are frequently due to an inability to keep preexisting or iatrogenic retinal breaks permanently closed. We have used transvitreally delivered cyanoacrylate tissue adhesive to seal retinal breaks in selected patients undergoing vitreous surgery for complicated retinal detachment. With a minimum follow-up period of 6 months, all but one retinal hole have remained closed and complete retinal reattachment posterior to the encircling buckle was achieved in 18 of 25 eyes (72%). In 10 of the 25 eyes (40%) the final visual acuity was 5/200 or better.

复杂玻璃体视网膜疾病的玻璃体手术失败，常常是由于无法使既存的或医源性视网膜裂孔永久闭合。我们已采用经玻璃体注入氰基丙烯酸酯组织黏合剂，来封闭因复杂视网膜脱离而接受玻璃体手术的特定患者的视网膜裂孔。在至少6个月的随访期内，除一只眼外，所有视网膜裂孔均保持闭合，并且在25只眼中有18只眼（72%）在环扎带后实现了视网膜完全复位。在25只眼中有10只眼（40%）最终视力达到或优于5/200。