Busse H, Hollwich F, Schiffer H P
Klin Monbl Augenheilkd. 1977 Jan;170(1):101-4.
The authors describe 6 cases of tractional retinal detachment without hole formation--five as a result of intraocular metal splinter injuries and the sixth after scleral perforation following windshield injury which was overlooked. Splinter extraction was performed twice through the perforation and three times though the pars plana from the ouside. The time between the injury and appearance of the retinal detachment varied between four months and nine years. In every case there was a diffuse falt detachment without obvious tent formation. Reattachment was successful in five cases by release of the traction from the outside by cerclage with folding of the point of traction in the vitreous body and diathermy with drainage of the subretinal effusion. This method described gives relief only when vitreous strands traverse the whole bulbus crosswise. The follow-up period is up to the present three months to a year.
作者描述了6例无裂孔形成的牵引性视网膜脱离病例——5例因眼内金属碎片损伤所致，第6例是因挡风玻璃损伤导致巩膜穿孔后被忽视，穿孔处巩膜瓣下玻璃体内有一金属碎片。通过穿孔处进行了2次碎片摘除，经睫状体平坦部从眼外进行了3次摘除。受伤至视网膜脱离出现的时间在4个月至9年之间。每例均为弥漫性扁平脱离，无明显的视网膜帐篷样隆起。5例通过从眼外松解牵引成功复位，方法是在玻璃体中牵引点处折叠并环扎，同时进行透热疗法并引流视网膜下积液。所描述的这种方法仅在玻璃体条索横向穿过整个眼球时才有效。随访期截至目前为3个月至1年。
