Ruellan Y M, Roussat B
J Fr Ophtalmol. 1984;7(12):807-12.
The authors report 19 cases of posterior retinal and tears treated by endodiathermy after vitrectomy. Nine cases were iatrogenic with a retinal break occurring during an intravitreal procedure. The remaining 10 cases were non-iatrogenic. A flat or reapplied retina is a prerequisite for achieving an adequate chorioretinal adhesion by endodiathermy. Short-term internal tamponade by intravitreal gas is recommended in cases with tears and no detachment, whereas, longer term tamponade with intravitreal silicone is preferable when the retina is detached. This method can be used when external retinopexy becomes impractical for lesions too far posterior, or when endophotocoagulation cannot be performed.
作者报告了19例玻璃体切除术后经眼内透热疗法治疗的视网膜后部裂孔病例。9例为医源性,在玻璃体腔内手术过程中发生视网膜裂孔。其余10例为非医源性。扁平或复位的视网膜是通过眼内透热疗法实现足够脉络膜视网膜粘连的前提条件。对于有裂孔但未脱离的病例,建议短期使用玻璃体腔内气体进行内部填塞,而当视网膜脱离时,使用玻璃体腔内硅油进行长期填塞更为可取。当外部视网膜固定术对于过于靠后的病变不切实际,或无法进行眼内光凝时,可采用此方法。