Freyler H, Scheimbauer I
Klin Monbl Augenheilkd. 1980 Sep;177(3):336-44. doi: 10.1055/s-2008-1057652.
This paper concerns experience gained by the authors with implants utilized during the past six years at the 1st University Eye Clinic, Vienna, in surgical treatment of 704 cases of rhegmatogenous retinal detachment: in 493 procedures a scleral buckle (silastic sponge in 81%) was applied, in 211 cases an encircling element (a silicon rod 2 mm in diameter in 83%). The subretinal fluid was drained in 52% of the buckling procedures, and in 90% of the encircling procedures. The success rate was 93% in the cases treated by buckling, and 79% following an encircling procedure. Thirty-four cases exhibiting massive periretinal proliferation and three cases with giant ears extending over 180 degrees were treated by retinopexy and indentation of the scleral wall in combination with vitrectomy followed by insufflation of SF6 gas. In 13 of these cases (two of them with giant tears) an anatomical cure was achieved.
本文介绍了作者在维也纳第一大学眼科诊所过去六年中使用植入物手术治疗704例孔源性视网膜脱离的经验:493例手术应用了巩膜扣带术(81%使用硅橡胶海绵),211例使用了环扎术(83%使用直径2mm的硅棒)。52%的巩膜扣带术和90%的环扎术排出了视网膜下液。巩膜扣带术治疗的成功率为93%,环扎术治疗后的成功率为79%。34例出现大量视网膜前增殖的病例和3例裂孔超过180度的巨大裂孔病例,采用视网膜固定术、巩膜壁压陷联合玻璃体切除术,随后注入SF6气体进行治疗。其中13例(2例为巨大裂孔)实现了解剖学治愈。