Escoffery R F, Olk R J, Grand M G, Boniuk I
Am J Ophthalmol. 1985 Mar 15;99(3):275-81. doi: 10.1016/0002-9394(85)90356-3.
Trans pars plana vitrectomy with air-fluid exchange was performed on 29 selected cases of primary rhegmatogenous retinal detachment in which scleral buckling would be the usual surgical approach. The group contained 20 phakic eyes, two aphakic eyes, and seven pseudophakic eyes; the macula was detached preoperatively in 17 eyes (66%). The reattachment rate after one operation was 79% (23 of 29 eyes); after two operations this increased to 93% (27 of 29 eyes). Visual acuities of 20/50 or better were achieved in 22 of 27 successfully treated cases (81%). Vitrectomy without scleral buckling may allow retinal reattachment with excellent visual results in selected cases of primary rhegmatogenous retinal detachment.
对29例原发性孔源性视网膜脱离患者进行了经平坦部玻璃体切除术并进行气液交换，这些患者通常采用巩膜扣带术作为手术方法。该组包括20只晶状体眼、2只无晶状体眼和7只人工晶状体眼；术前17只眼（66%）黄斑脱离。一次手术后视网膜复位率为79%（29只眼中的23只）；两次手术后，这一比例升至93%（29只眼中的27只）。27例成功治疗的病例中有22例（81%）视力达到20/50或更好。在原发性孔源性视网膜脱离的特定病例中，不进行巩膜扣带的玻璃体切除术可能使视网膜复位并获得优异的视觉效果。
