Mathis A, Camuzet F, Bertrand E, Arne J L, Bec P
J Fr Ophtalmol. 1983;6(11):889-93.
15 cases of superior bullous hemi-retinal detachment were repaired during a 16-month period, with a post-operative follow-up of 3-19 months. Intravitreal injection of 0,75-1,5 cc of pure sulfur hexafluoride (SF 6) was performed in 9 cases. The indications for injection at the end of the procedure were: 1) absence of chorioretinal contact in spite of an indentation in the correct position; 2) fishmouth configuration of the retinal break; 3) presence of radial folds over an indentation parallel to the limbus. Only two out of patients required a second operation, due to the development of proliferative vitreoretinopathy. One case was unsuccessful because of a redetachment secondary to massive periretinal proliferation. No complication was observed with the injection of SF 6. In particular, ocular hypertension was avoided by controlling the amount of gas used, always inferior to 2 cc, and postoperative treatment with acetazolamide and topical timolol. The intraocular injection of SF 6 appears to be useful contribution to the surgical treatment of superior bullous hemi-retinal detachment, allowing effective and durable internal tamponade, while avoiding prolonged bedrest.
在16个月的时间里，对15例上方大泡性半视网膜脱离患者进行了修复手术，术后随访3至19个月。9例患者接受了玻璃体内注射0.75至1.5毫升纯六氟化硫（SF 6）。手术结束时注射的指征为：1）尽管在正确位置有压陷，但脉络膜视网膜未接触；2）视网膜裂孔呈鱼嘴状；3）在与角膜缘平行的压陷上方有放射状皱襞。只有两名患者因增殖性玻璃体视网膜病变的发展需要进行二次手术。1例手术失败，原因是大量视网膜周边增殖导致视网膜再次脱离。注射SF 6未观察到并发症。特别是，通过控制使用的气体量（始终低于2毫升）以及术后使用乙酰唑胺和局部噻吗洛尔治疗，避免了眼压升高。玻璃体内注射SF 6似乎有助于上方大泡性半视网膜脱离的手术治疗，可实现有效且持久的眼内填充，同时避免长时间卧床休息。
