Millsap C M, Peyman G A, Mehta N J, Greve M D, Lee K J, Ma P E, Dunlap W A
LSU Eye Center, Louisiana State University Medical Center School of Medicine, New Orleans.
Ophthalmic Surg. 1993 Nov;24(11):759-63.
Fifty cases of retinal detachment with a giant retinal tear were managed using perfluoroperhydrophenanthrene (Vitreon) as an intraoperative and postoperative tool. The giant tear was less than 180 degrees in 76% of the eyes, greater than 180 degrees in 22%, and greater than 270 degrees in 2%. Proliferative vitreoretinopathy was present in 40%. Vitreon was used only intraoperatively in 84% of the eyes, and was left in 16% for up to 4 weeks. Intraoperative retinal reattachment was achieved in 98%. Retinal attachment was maintained in 88%, with a mean follow up of 8.6 months. Postoperative visual acuity was better than 20/400 in 52%. Postoperative complications included cataract in 23%, choroidal effusion in 2%, hypotony in 4%, and recurrent retinal detachment with proliferative vitreoretinopathy in 26%.
50例伴有巨大视网膜裂孔的视网膜脱离患者接受了治疗，术中及术后使用全氟菲（Vitreon）。76%的患眼巨大裂孔小于180度，22%大于180度，2%大于270度。40%存在增殖性玻璃体视网膜病变。84%的患眼仅在术中使用Vitreon，16%的患眼保留长达4周。98%的患眼在术中实现视网膜复位。平均随访8.6个月，88%的患眼视网膜复位得以维持。52%的患者术后视力优于20/400。术后并发症包括23%的白内障、2%的脉络膜渗漏、4%的低眼压以及26%的伴有增殖性玻璃体视网膜病变的复发性视网膜脱离。
