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巩膜外加压术不引流情况下视网膜下液消失的实验研究

Experimental studies on the disappearance of subretinal fluid after episcleral buckling procedures without drainage.

作者信息

Clemens S, Kroll P, Stein E, Wagner W, Wriggers P

出版信息

Graefes Arch Clin Exp Ophthalmol. 1987;225(1):16-8. doi: 10.1007/BF02155798.

DOI:10.1007/BF02155798
PMID:3569945
Abstract

We have developed an experimental model to show that an additional mechanism apart from absorption by pigment epithelium is responsible for the absorption of subretinal fluid. The cause of a fast diminution of subretinal fluid after a buckling procedure is the prominence of the buckle as an obstacle to fluid movements in the eye. This results in any fluid being pushed through the retinal hole into the vitreous. When the retinal hole is closed by the buckle, the remaining part of the subretinal fluid is slowly absorbed by the pigment epithelium present. We performed a preliminary qualitative and quantitative analysis of the phenomena occurring using the finite element method of Zienkiewicz.

摘要

我们已经建立了一个实验模型,以表明除色素上皮吸收外,还有另一种机制负责视网膜下液的吸收。扣带手术后视网膜下液迅速减少的原因是扣带突出,成为眼内液体流动的障碍。这导致任何液体通过视网膜裂孔被推入玻璃体。当视网膜裂孔被扣带封闭时,视网膜下液的剩余部分被存在的色素上皮缓慢吸收。我们使用齐恩凯维奇的有限元方法对所发生的现象进行了初步的定性和定量分析。

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2
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Intraocular currents, Bernoulli's principle and non-drainage scleral buckling for rhegmatogenous retinal detachment.眼内电流、伯努利原理和非引流巩膜扣带术治疗孔源性视网膜脱离。
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Shape change of the vitreous chamber influences retinal detachment and reattachment processes: is mechanical stress during eye rotations a factor?

本文引用的文献

1
The importance of fluid absorption, traction, intraocular currents, and chorioretinal scars in the therapy of rhegmatogenous retinal detachments. XLI Edward Jackson memorial lecture.液体吸收、牵引、眼内电流及脉络膜视网膜瘢痕在孔源性视网膜脱离治疗中的重要性。第41届爱德华·杰克逊纪念讲座
Am J Ophthalmol. 1984 Dec 15;98(6):681-93. doi: 10.1016/0002-9394(84)90682-2.
2
Experimental retinal detachment. IV. Aqueous humor dynamics in rhegmatogenous detachments.
Arch Ophthalmol. 1982 Nov;100(11):1814-6. doi: 10.1001/archopht.1982.01030040794017.
3
Significance of subretinal absorption for effectiveness of buckling operations.视网膜下吸收对巩膜扣带术效果的意义。
玻璃体腔形状的改变影响视网膜脱离和复位过程:眼球转动过程中的机械应力是一个因素吗?
Invest Ophthalmol Vis Sci. 2012 Sep 19;53(10):6271-81. doi: 10.1167/iovs.11-9390.
4
Bilateral patching in retinal detachment: fluid mechanics and retinal "settling".双眼贴敷治疗视网膜脱离:流体力学与视网膜“沉降”。
Invest Ophthalmol Vis Sci. 2011 Jul 20;52(8):5437-40. doi: 10.1167/iovs.11-7249.
5
The fluid mechanics of scleral buckling surgery for the repair of retinal detachment.巩膜扣带术治疗视网膜脱离的流体力学。
Graefes Arch Clin Exp Ophthalmol. 2010 Jan;248(1):31-6. doi: 10.1007/s00417-009-1198-z. Epub 2009 Oct 7.
6
Vitrectomy and gas for inferior break retinal detachments: are the results comparable to vitrectomy, gas, and scleral buckle?玻璃体切除术联合气体治疗下方裂孔性视网膜脱离:其结果与玻璃体切除术、气体及巩膜扣带术相比是否具有可比性?
Br J Ophthalmol. 2004 Nov;88(11):1376-9. doi: 10.1136/bjo.2004.043687.
Acta Ophthalmol (Copenh). 1971;49(6):866-72. doi: 10.1111/j.1755-3768.1971.tb05938.x.
4
Fluid dynamics in eyes with rhegmatogenous retinal detachments.
Am J Ophthalmol. 1985 Jun 15;99(6):673-6. doi: 10.1016/s0002-9394(14)76034-9.
5
Hydrodynamic events in the vitreous space accompanying eye movements. Significance for the pathogenesis of retinal detachment.眼球运动时玻璃体腔中的流体动力学事件。对视网膜脱离发病机制的意义。
Ophthalmologica. 1976;173(6):513-24. doi: 10.1159/000307937.