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不进行玻璃体切除术,采用膨胀性气泡治疗复杂性视网膜脱离。

The treatment of difficult retinal detachments with an expanding gas bubble without vitrectomy.

作者信息

Kreissig I, Stanowsky A, Lincoff H, Richard G

出版信息

Graefes Arch Clin Exp Ophthalmol. 1986;224(1):51-4. doi: 10.1007/BF02144134.

DOI:10.1007/BF02144134
PMID:3943735
Abstract

In a prospective study on the use of perfluorocarbon gases (CF4, C2F6, C3F8) without prior mechanical vitrectomy, 51 retinal detachments that were not suitable for scleral buckling were treated by injection of a small bubble of gas into the vitreous to form a tamponade. There were 23 patients with giant tears, 16 with posterior holes, 9 with breaks at different latitudes, and 3 in whom the gas was used for diagnostic purposes. The gases were sustained at therapeutic volumes for 10-70 days. The tears were sealed with argon or krypton laser. The overall reattachment rate was 71%. Postoperative visual acuity improved or remained the same in all patients with reattached retina. In a follow-up of 1 year-38 months there were no late complications, such as cataract, glaucoma, keratopathy, or subsequent visual deterioration.

摘要

在一项关于未先行机械性玻璃体切割术而使用全氟化碳气体(CF4、C2F6、C3F8)的前瞻性研究中,51例不适合巩膜扣带术的视网膜脱离患者通过向玻璃体腔内注射一小气泡气体以形成填塞进行治疗。其中有23例巨大裂孔患者、16例后极孔患者、9例不同纬度裂孔患者以及3例将气体用于诊断目的的患者。这些气体在治疗体积下维持10至70天。裂孔用氩激光或氪激光封闭。总体复位率为71%。所有视网膜复位的患者术后视力均有改善或保持不变。在1年至38个月的随访中,未出现白内障、青光眼、角膜病变或随后视力恶化等晚期并发症。

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The treatment of giant tear detachments using retrohyaloidal perfluorocarbon gases without drainage or vitrectomy.

本文引用的文献

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Intravitreal expansion of perfluorocarbon bubbles.
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Use of an intraocular gas tamponade to find retinal breaks.使用眼内气体填充来查找视网膜裂孔。
Am J Ophthalmol. 1983 Oct;96(4):510-6. doi: 10.1016/s0002-9394(14)77915-2.
8
An elastic pouch operation for large retinal tears.用于治疗大面积视网膜裂孔的弹性囊袋手术。
Arch Ophthalmol. 1979 Apr;97(4):708-10. doi: 10.1001/archopht.1979.01020010360016.