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Healon在伴有增殖性玻璃体视网膜病变的视网膜脱离中的应用。

Healon in retinal detachment with proliferative vitreoretinopathy.

作者信息

Gerke E, Meyer-Schwickerath G, Wessing A

出版信息

Graefes Arch Clin Exp Ophthalmol. 1984;221(5):241-3. doi: 10.1007/BF02134147.

DOI:10.1007/BF02134147
PMID:6489771
Abstract

In 73 eyes, retinal detachments complicated by proliferative vitreoretinopathy (PVR) were treated by intravitreal injections of Healon, in addition to scleral buckling procedures. The number of completely reattached retinas three months postoperatively was dependent upon the grade of PVR: 50% were reattached when PVR comprised only one quadrant (Grade C-1); 30% when two to four quadrants were involved (Grade C-2, C-3 and D-1). Reattachment was not achieved in two cases of PVR with funnel-like configurations (D-2). Major complications that could be attributed to Healon did not occur. The results indicate that Healon injections, combined with scleral buckling procedures, are an encouraging approach to retinal detachments with PVR Grades C-2 through D-1.

摘要

在73只眼中,除巩膜扣带术外,对伴有增殖性玻璃体视网膜病变(PVR)的视网膜脱离患者进行了玻璃体内注射Healon治疗。术后三个月视网膜完全复位的数量取决于PVR的分级:当PVR仅累及一个象限(C-1级)时,50%的视网膜实现了复位;当累及两至四个象限(C-2、C-3和D-1级)时,30%的视网膜实现了复位。在两例呈漏斗状结构的PVR(D-2级)病例中未实现视网膜复位。未发生可归因于Healon的重大并发症。结果表明,Healon注射联合巩膜扣带术是治疗C-2至D-1级PVR所致视网膜脱离的一种令人鼓舞的方法。

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本文引用的文献

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Temporary use of intraocular silicone oil in the treatment of detachment with massive periretinal proliferation. Preliminary report.眼内硅油在治疗伴有大量视网膜前增殖的视网膜脱离中的临时应用。初步报告。
Ophthalmologica. 1982;184(4):210-8. doi: 10.1159/000309208.
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Scleral buckling for retinal detachments complicated by periretinal proliferation.巩膜扣带术治疗合并视网膜前增殖的视网膜脱离
Arch Ophthalmol. 1982 Mar;100(3):419-22. doi: 10.1001/archopht.1982.01030030421006.
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The classification of retinal detachment with proliferative vitreoretinopathy.
一种交联透明质酸水凝胶(Healaflow(®))作为新型玻璃体替代物。
Graefes Arch Clin Exp Ophthalmol. 2016 Apr;254(4):697-703. doi: 10.1007/s00417-015-3256-z. Epub 2016 Jan 8.
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Inflow and outflow relations after intraocular fluid-Healon exchange in a case of chronic ocular hypotension.慢性眼压过低病例中眼内液体与透明质酸钠交换后的流入与流出关系
Int Ophthalmol. 1985 Nov;8(4):261-6. doi: 10.1007/BF00137655.
伴有增殖性玻璃体视网膜病变的视网膜脱离的分类
Ophthalmology. 1983 Feb;90(2):121-5. doi: 10.1016/s0161-6420(83)34588-7.
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Hyaluronic acid and replacement of vitreous and aqueous humor.透明质酸与玻璃体和房水的替代
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The treatment of massive vitreous retraction by the separation of pre-retinal membranes using liquid silicone.使用液态硅酮分离视网膜前膜治疗巨大玻璃体后脱离
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