Höing C, Kampik A, Heidenkummer H P
Augenklinik, Universität München.
Ophthalmologe. 1994 Jun;91(3):312-8.
Vitrectomy following complicated retinal detachment (PVR, giant tears, persistent retinal detachments or redetachments) has become standard in ophthalmic surgery. Intraocular tamponade is performed with gas (e.g. SF-6) or silicone oil. We retrospectively analyzed our functional and anatomical results after vitrectomy with SF-6 gas tamponade in complicated cases of retinal detachment. Ninety-four severe retinal detachments in 85 patients were treated by vitrectomy using SF-6 gas tamponade in the period from July 1990 to June 1991. In 68% of eyes complete retinal reattachment was achieved with the use of SF-6 gas. Thirty-two per cent of the operated eyes developed retinal redetachment an average of 3.4 weeks after initial surgery; 27% of those eyes were treated again with the use of silicone oil. The success rate using vitrectomy with SF-6 gas ranged between 46% and 74%, depending on pathogenetic factors. The best results were obtained in patients receiving primary vitrectomy for complicated retinal detachment. It is concluded that SF-6 gas is a successful tool in the treatment of severe retinal detachment with primary vitrectomy. In cases of persistent or recurrent detachment of the retina the results are not equally good and these cases merit consideration of silicone oil tamponade, depending on the severity of the disease process. However, no definite preoperative criteria for the success of vitrectomy and gas tamponade were identified.
在复杂性视网膜脱离（增殖性玻璃体视网膜病变、巨大裂孔、持续性视网膜脱离或再脱离）之后进行玻璃体切除术已成为眼科手术的标准操作。眼内填充采用气体（如SF - 6）或硅油。我们回顾性分析了在复杂性视网膜脱离病例中使用SF - 6气体填充进行玻璃体切除术后的功能和解剖学结果。在1990年7月至1991年6月期间，对85例患者的94例严重视网膜脱离采用SF - 6气体填充进行玻璃体切除术治疗。68%的患眼使用SF - 6气体后实现了视网膜完全复位。32%的手术患眼在初次手术后平均3.4周出现视网膜再脱离；其中27%的患眼再次使用硅油进行治疗。根据致病因素不同，使用SF - 6气体进行玻璃体切除术的成功率在46%至74%之间。对于复杂性视网膜脱离接受一期玻璃体切除术的患者，取得了最佳效果。得出的结论是，SF - 6气体是一期玻璃体切除术治疗严重视网膜脱离的一种成功手段。在视网膜持续或反复脱离的病例中，结果并不同样理想，根据疾病进程的严重程度，这些病例值得考虑使用硅油填充。然而，未确定玻璃体切除术和气体填充成功的明确术前标准。
