新鲜视网膜脱离——巩膜扣带术的作用

Fresh retinal detachments--the role of scleral buckling.

作者信息

McLeod D

出版信息

Trans Ophthalmol Soc U K (1962). 1986;105 ( Pt 4):480-8.

Abstract

Current concepts and methods of scleral buckling for fresh rhegmatogenous retinal detachments are reviewed in the light of alternative or additional approaches to retinal reattachment surgery. Increasingly, in difficult detachments, temporary internal air tamponade is replacing scleral buckling as a means of achieving initial closure of superiorly-located retinal breaks, though buckling often retains a role in thereafter maintaining break-closure by withstanding persisting vitreoretinal traction. Vitrectomy is also being employed more frequently in fresh detachments in order to relieve vitreoretinal traction, remove vitreous opacities and provide extra space for internal gas injection; however, complete relief of traction in the retinal periphery is seldom achievable, thus necessitating scleral buckling.

摘要

结合视网膜复位手术的替代或辅助方法，对新鲜孔源性视网膜脱离的巩膜扣带术的当前概念和方法进行了综述。在越来越多的复杂脱离病例中，暂时性眼内气体填塞正逐渐取代巩膜扣带术，作为实现上方视网膜裂孔初始封闭的一种手段，尽管在随后通过抵抗持续的玻璃体视网膜牵拉来维持裂孔封闭方面，扣带术通常仍发挥作用。玻璃体切除术在新鲜脱离病例中的应用也越来越频繁，以减轻玻璃体视网膜牵拉、清除玻璃体混浊并为眼内气体注入提供额外空间；然而，很少能完全解除视网膜周边部的牵拉，因此仍需要巩膜扣带术。