Meyers S M, FitzGibbon E J
Arch Ophthalmol. 1985 Dec;103(12):1881-3. doi: 10.1001/archopht.1985.01050120115031.
Simultaneous external subretinal fluid drainage and intravitreal gas injection was performed in 12 patients requiring a large or near-total internal gas tamponade (eight eyes with proliferative vitreo-retinopathy following vitrectomy and four eyes without proliferative vitreoretinopathy that had not undergone vitrectomy). None of the patients had a preexisting or intentional posterior retinal break. The retina was attached six or more months postoperatively in nine of the 12 patients. In one patient, an iatrogenic retinal break occurred without retinal incarceration. In selected cases, this procedure is an alternative to internal fluid-gas exchange through a posterior retinal break, thus avoiding the necessary postoperative facedown position, which is difficult for some patients to maintain. This method may also be used for preventing "fish-mouthed" retinal breaks in selected cases.
对12例需要大量或近乎全量眼内气体填塞的患者进行了同步视网膜下液引流和玻璃体内气体注射（8只眼为玻璃体切除术后增生性玻璃体视网膜病变，4只眼为未行玻璃体切除术的非增生性玻璃体视网膜病变）。所有患者术前均无视网膜裂孔，也未故意制造视网膜裂孔。12例患者中有9例术后6个月或更长时间视网膜保持附着。1例患者发生医源性视网膜裂孔，但无视网膜嵌顿。在某些情况下，该手术可替代通过视网膜后裂孔进行的眼内液 - 气交换，从而避免了术后一些患者难以维持的面部朝下体位。该方法在某些情况下还可用于预防“鱼嘴样”视网膜裂孔。
