Gündüz K, Günalp I
Eye Clinic, Faculty of Medicine, University of Ankara, Turkey.
Int Ophthalmol. 1994;18(3):143-7. doi: 10.1007/BF00915962.
Thirty bullous retinal detachments were treated with pneumatic retinopexy and drainage of subretinal fluid. Patient selection criteria were similar to pneumatic retinopexy. All the eyes were reattached after the first operation. In three (10%) eyes new breaks with retinal detachment developed within two months after the initial operation and were treated with scleral buckling. One of these three eyes developed proliferative vitreoretinopathy grade D3 two months after scleral buckling. Twenty-nine (96.7%) out of thirty eyes were eventually reattached. The follow-up period was at least nine months. Visual acuity was maintained or improved in 29 (96.7%) eyes. Complications developing due to subretinal fluid like extension of detachment, persistence of subretinal fluid, subretinal gas, reopened retinal breaks were not encountered. By applying cryotherapy to a reattached retina after drainage of subretinal fluid, retinal pigment epithelial dispersion is decreased and the so-called steamroller technique is avoided. Drainage of subretinal fluid did not prevent a good success rate and did not result in additional complications.
30例大泡性视网膜脱离患者接受了气体视网膜固定术及视网膜下液引流术。患者选择标准与气体视网膜固定术相似。所有患眼在首次手术后均实现视网膜复位。3只（10%）患眼在初次手术后2个月内出现新的视网膜裂孔并伴视网膜脱离，随后接受了巩膜扣带术治疗。这3只眼中有1只在巩膜扣带术后2个月发展为D3级增殖性玻璃体视网膜病变。30只眼中的29只（96.7%）最终实现视网膜复位。随访期至少为9个月。29只（96.7%）患眼的视力得以维持或提高。未出现因视网膜下液引起的并发症，如视网膜脱离范围扩大、视网膜下液持续存在、视网膜下气体、视网膜裂孔重新开放等。通过在视网膜下液引流后对复位的视网膜进行冷冻疗法，可减少视网膜色素上皮细胞的扩散，并避免所谓的碾压技术。视网膜下液引流并未妨碍取得良好的成功率，也未导致额外的并发症。
