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眼内注入气体后黄斑区视网膜皱褶。视网膜脱离手术中一种可避免的并发症。

Retinal fold in macula following intraocular gas. An avoidable complication of retinal detachment surgery.

作者信息

Pavan P R

出版信息

Arch Ophthalmol. 1984 Jan;102(1):83-4. doi: 10.1001/archopht.1984.01040030067037.

DOI:10.1001/archopht.1984.01040030067037
PMID:6703972
Abstract

Liquid vitreous was replaced with air during a scleral buckle for a superotemporal retinal detachment. After surgery, the patient was positioned so that air rolled over the detached retina from anterior to posterior, pressing a fishmouthed tear against the buckle that resulted in reattachment. After the air was absorbed, a large retinal fold was seen in the superotemporal macula along the former posterior margin of the detachment. If the patient had been positioned so that air rolled over the detached retina from posterior to anterior, the potentially visually destructive posterior retinal fold could have been avoided.

摘要

在颞上视网膜脱离的巩膜扣带手术中,用空气替代了液化的玻璃体。术后,患者被安置成特定体位,使空气从视网膜前向后滚动覆盖脱离的视网膜,将鱼嘴状裂孔压向巩膜扣带从而实现视网膜复位。空气吸收后,在颞上黄斑区沿脱离的原后缘可见一个大的视网膜皱褶。如果患者被安置成使空气从视网膜后向前滚动覆盖脱离的视网膜,就有可能避免对视功能有潜在损害的视网膜后皱褶。

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