Hilton G F, Kelly N E, Salzano T C, Tornambe P E, Wells J W, Wendel R T
Ophthalmology. 1987 Apr;94(4):307-14.
The preliminary experience of one surgeon, using pneumatic retinopexy for 20 consecutive cases of rhegmatogenous retinal detachment, was previously reported. The collaborative experience of six surgeons using pneumatic retinopexy for 100 cases is now reported. This series includes cases with pseudophakia, aphakia, macular detachment, macular breaks, vitreous hemorrhage, trauma, and old detachments. Initially, 91% were reattached, but seven recurrences yielded a 6-month follow-up cure rate of 84% with pneumatic retinopexy. With subsequent scleral buckling, 98% were reattached. Postoperative complications included proliferative vitreoretinopathy (3%), macular pucker (3%), and new/missed retinal breaks (7%). A review of the literature disclosed postoperative new/missed retinal breaks in nine series: 21, 3, 8, 4, 9, 7, 5, 4, and 13%. There were no cases of glaucoma, cataract, subretinal gas, endophthalmitis, or extension of the detachment into a previously attached macula. Pneumatic retinopexy offers the advantages of reduced tissue trauma, fewer complications, no hospitalization, and less expense. The major disadvantage is the need for postoperative positioning.
此前曾报道过一位外科医生连续对20例孔源性视网膜脱离患者进行气体视网膜固定术的初步经验。现将六位外科医生对100例患者进行气体视网膜固定术的协作经验报告如下。该系列病例包括人工晶状体眼、无晶状体眼、黄斑脱离、黄斑裂孔、玻璃体积血、外伤及陈旧性视网膜脱离。最初，91%的患者视网膜复位，但有7例复发，气体视网膜固定术6个月随访治愈率为84%。随后行巩膜扣带术后，98%的患者视网膜复位。术后并发症包括增生性玻璃体视网膜病变（3%）、黄斑皱襞（3%）以及新出现/遗漏的视网膜裂孔（7%）。文献回顾显示，九个系列报道的术后新出现/遗漏视网膜裂孔的发生率分别为：21%、3%、8%、4%、9%、7%、5%、4%和13%。未出现青光眼、白内障、视网膜下气体、眼内炎或视网膜脱离扩展至先前已复位的黄斑区的病例。气体视网膜固定术具有组织创伤小、并发症少、无需住院及费用较低等优点。其主要缺点是术后需要体位固定。
