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脉络膜缺损性视网膜脱离手术技术的选择

Selection of surgical technique for retinal detachment with coloboma of the choroid.

作者信息

Jalali S, Das T

机构信息

L.V. Prasad Eye Institute, Hyderabad.

出版信息

Indian J Ophthalmol. 1994 Mar;42(1):27-30.

PMID:7927627
Abstract

Four eyes with rhegmatogenous retinal detachment and coloboma of the choroid were managed by conventional scleral buckling (one eye); scleral buckling combined with lensectomy, vitrectomy, and fluid-air exchange (two eyes); and vitrectomy, silicone oil injection without scleral buckling (one eye). Retinal break was seen within the coloboma in two eyes, at the periphery in one eye, and, both in the coloboma and periphery in one eye. At a follow-up of 15 months, the retina was found attached in all the patients. The success of these surgical procedures could be attributed to careful preoperative/intraoperative fundus examination and individualised surgical planning.

摘要

4例患有孔源性视网膜脱离和脉络膜缺损的患者接受了如下治疗:1例采用传统巩膜扣带术;2例采用巩膜扣带术联合晶状体切除术、玻璃体切除术及液气交换术;1例采用不进行巩膜扣带的玻璃体切除术及硅油注入术。2例患者的视网膜裂孔位于脉络膜缺损区内,1例位于周边部,1例同时位于脉络膜缺损区和周边部。随访15个月时,所有患者的视网膜均已复位。这些手术的成功可归因于术前/术中仔细的眼底检查和个体化的手术规划。

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