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眼球固定术及其在视网膜上方脱离治疗中的作用。

Ocular immobilization and its role in the management of superior retinal detachment.

作者信息

Johnston P B, Collins A, Maguire C J, Logan W C

出版信息

Trans Ophthalmol Soc U K (1962). 1982 Jul;102 (pt 2):233-6.

PMID:6963516
Abstract

Twenty-eight patients with bullous superior half retinal detachments were treated by pre-operative binocular occlusion, retrobulbar Bupivicaine hydrochloride and ocular immobilization using a temporary inferior rectus suture taped to the patient's forehead. Sufficient pre-operative flattening of the retina was achieved in each case to permit successful simple detachment surgery, with release of subretinal fluid in only three eyes. Eye movements were recorded by electro-oculography in five patients during separate periods of binocular occlusion, inferior rectus suture fixation and following a retrobulbar injection of 0.5 per cent Bupivicaine hydrochloride. All three methods of ocular immobilization caused a significant reduction in frequency and amplitude of eye movements compared with periods of unrestricted eye movement.

摘要

28例患有大泡性上半视网膜脱离的患者接受了术前双眼遮盖、球后注射盐酸布比卡因以及使用临时下直肌缝线固定眼球(缝线粘在患者前额)的治疗。每例患者术前均实现了视网膜充分扁平,从而能够成功进行简单的视网膜脱离手术,仅3只眼需要放出视网膜下液。在5例患者中,分别在双眼遮盖期、下直肌缝线固定期以及球后注射0.5%盐酸布比卡因后,通过眼电图记录眼球运动。与眼球运动不受限制的时期相比,所有三种眼球固定方法均导致眼球运动的频率和幅度显著降低。

相似文献

1
Ocular immobilization and its role in the management of superior retinal detachment.眼球固定术及其在视网膜上方脱离治疗中的作用。
Trans Ophthalmol Soc U K (1962). 1982 Jul;102 (pt 2):233-6.
2
Management of superior-half-bullous retinal detachment.上半视网膜大泡性脱离的治疗
Br J Ophthalmol. 1981 Sep;65(9):618-22. doi: 10.1136/bjo.65.9.618.
3
[Pre-operative retina reapplication by active immobilization of the eye with traction sutures].[通过牵引缝线主动固定眼球进行术前视网膜复位]
J Fr Ophtalmol. 1982;5(8-9):519-21.
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Reduction of subretinal fluid after preoperative immobilization of the eyes with rhegmatogenous retinal detachment.孔源性视网膜脱离术前患眼制动后视网膜下液的减少
Chang Gung Med J. 2001 Dec;24(12):799-804.
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Active immobilization of the eye in the treatment of retinal detachment.视网膜脱离治疗中眼球的主动固定术。
Mod Probl Ophthalmol. 1977;18:286-91.
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Effect of preoperative posture and binocular occlusion on retinal detachment.术前姿势和双眼遮盖对视网膜脱离的影响。
Br J Ophthalmol. 1980 Feb;64(2):94-7. doi: 10.1136/bjo.64.2.94.
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[Subretinal proliferation and rhegmatogenous retinal detachment].[视网膜下增殖与孔源性视网膜脱离]
J Fr Ophtalmol. 1993;16(4):235-40.
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[Stickler's syndrome (dystrophia vitreoretinalis hereditaria). Results of surgery for retinal detachment].[斯蒂克勒综合征(遗传性玻璃体视网膜营养不良)。视网膜脱离的手术结果]
Cesk Slov Oftalmol. 2001 May;57(3):147-54.
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Management of retinal detachment when no break is found.未发现裂孔时视网膜脱离的处理
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[Retinal detachments and retinal surgery].[视网膜脱离与视网膜手术]
Ned Tijdschr Geneeskd. 1999 Apr 10;143(15):781-5.

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