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[使用康弗斯-马切默方法治疗伴有黄斑裂孔的视网膜脱离]

[Treatment of retinal detachment with a macular hole using the Convers-Machemer method].

作者信息

Laqua H

出版信息

Klin Monbl Augenheilkd. 1985 Jan;186(1):13-7. doi: 10.1055/s-2008-1050864.

Abstract

Fourteen patients with retinal detachment and macular hole were treated by pars plana vitrectomy and air-gas injection, according to the method of Gonvers and Machemer. Neither scleral buckling procedures at the posterior pole nor coagulation of the macular hole were performed. Ten patients had not previously undergone detachment surgery, and the retinas were reattached in all of them at the follow-up examination 3 months later. In 2 patients the retina subsequently redetached, 7 and 14 months after surgery. Four patients had undergone detachment surgery previously; only in one of them was the retina still reattached after 3 months. The best postoperative visual acuity was 0.2, in 3 patients.

摘要

根据贡弗斯和马赫默尔的方法,对14例视网膜脱离合并黄斑裂孔患者进行了玻璃体切除术和平板气液注射治疗。未在眼球后极部进行巩膜扣带术,也未对黄斑裂孔进行凝固治疗。10例患者此前未接受过视网膜脱离手术,3个月后的随访检查显示,所有患者的视网膜均重新复位。2例患者在术后7个月和14个月视网膜再次脱离。4例患者此前接受过视网膜脱离手术;3个月后,只有其中1例患者的视网膜仍保持复位状态。3例患者术后最佳视力为0.2。

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