Clemens S, Kroll P, Busse H, Berg P
Graefes Arch Clin Exp Ophthalmol. 1986;224(3):226-9. doi: 10.1007/BF02143059.
Twelve of 25 patients were treated at the University Eye Clinic in Münster because of retinal detachment due to a macular hole. Partial fluid gas exchange (SF6), vitrectomy and SF6, or vitrectomy and silicone instillation, were used, and the patients were examined both pre- and postoperatively by ultrasonography with particular attention to the situation at the posterior pole. These echographical examinations enabled us to evaluate the following three criteria: staphyloma posticum, stiffness of the retina, and vitreous adhesions. All of these conditions mean that the prognosis will be worse if SF6 gas instillation is used alone. In these cases, a vitrectomy should also be performed or a Klöti-Klemme procedure is useful when stiffness of the retina or staphyloma posticum is present. Preoperative ultrasonography is useful when setting up an adequate therapy plan.
25名患者中有12名因黄斑裂孔导致视网膜脱离，在明斯特大学眼科诊所接受治疗。采用了部分液体气体交换（SF6）、玻璃体切除术联合SF6，或玻璃体切除术联合硅油注入，并且在术前和术后均通过超声检查对患者进行了检查，特别关注后极部的情况。这些超声检查使我们能够评估以下三个标准：后葡萄肿、视网膜硬度和玻璃体粘连。所有这些情况都意味着，如果单独使用SF6气体注入，预后会更差。在这些病例中，还应进行玻璃体切除术，或者当存在视网膜硬度或后葡萄肿时，Klöti-Klemme手术是有用的。术前超声检查在制定适当的治疗方案时很有用。
