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视网膜脱离手术中的植入物(作者译)

[Implants in retinal detachment surgery (author's transl)].

作者信息

Freyler H, Scheimbauer I

出版信息

Klin Monbl Augenheilkd. 1980 Sep;177(3):336-44. doi: 10.1055/s-2008-1057652.

DOI:10.1055/s-2008-1057652
PMID:7453069
Abstract

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.

摘要

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。

相似文献

1
[Implants in retinal detachment surgery (author's transl)].视网膜脱离手术中的植入物(作者译)
Klin Monbl Augenheilkd. 1980 Sep;177(3):336-44. doi: 10.1055/s-2008-1057652.
2
[Intravitreal injection of SF6 gas in vitreoretinal surgery (author's transl)].
Klin Monbl Augenheilkd. 1980 Dec;177(6):719-25. doi: 10.1055/s-2008-1057713.
3
Prevention and control of proliferative vitreoretinopathy: primary retinal detachment surgery using silicone oil as a planned two-stage procedure in high-risk cases.增殖性玻璃体视网膜病变的防治:在高危病例中,将硅油作为计划性两阶段手术用于原发性视网膜脱离手术。
Eye (Lond). 2008 Jun;22(6):815-8. doi: 10.1038/sj.eye.6702719. Epub 2007 Feb 2.
4
Silicone sponge implant in combination with episcleral implant for retinal detachment surgery.硅海绵植入联合巩膜外植入用于视网膜脱离手术。
Ophthalmic Surg. 1980 Oct;11(10):712-8.
5
An alternative method of gas-fluid exchange through the limbus in giant tears and other complicated retinal detachments.一种通过角膜缘进行气体-液体交换治疗巨大裂孔性视网膜脱离及其他复杂性视网膜脱离的替代方法。
Mod Probl Ophthalmol. 1979;20:282-9.
6
Scleral buckling combined with vitrectomy for the management of rhegmatogenous retinal detachment associated with inferior retinal breaks.巩膜扣带术联合玻璃体切除术治疗伴有下方视网膜裂孔的孔源性视网膜脱离
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Laser pneumatic retinopexy for repair of recurrent retinal detachment after failed scleral buckle--ten years experience.激光气泵视网膜固定术治疗巩膜扣带术失败后的复发性视网膜脱离——十年经验
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[Outcome after vitrectomy in rhegmatogenous retinal detachment and dense vitreous opacities].[孔源性视网膜脱离合并致密玻璃体混浊行玻璃体切除术后的预后]
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[Risk factors for surgical failures in rhegmatogenous retinal detachment].[孔源性视网膜脱离手术失败的危险因素]
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Acta Ophthalmol Scand. 2007 Aug;85(5):540-5. doi: 10.1111/j.1600-0420.2007.00888.x. Epub 2007 Mar 9.