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自从玻璃体切除术引入后,玻璃体抽吸术的操作就过时了吗?

Is the procedure of vitreous suction out of date since introduction of vitrectomy?

作者信息

Hruby K

出版信息

Mod Probl Ophthalmol. 1977;18:183-6.

PMID:876049
Abstract

Vitreous suction is still a useful procedure in cases of severe vitreous opacification. In spite of the technical perfection and good results of vitrectomy, the chances of a vitreous suction should be taken into consideration before a definite decision is made. The surgical technique of vitreous suction is very simple, lensectomy is never required, and the possibility of a subsequent vitrectomy is not impaired of the suction manoeuvre has failed. The frequency of complications, namely retinal detachment and bacterial intraocular infection, is reasonable if the almost hopeless condition of the affected eyes, and the severe general diabetic angiopathy and poor resistance are considered, which in individuals with postoperative endophthalmitis usually are found. Vitreous suction is still acceptable as a minor sort of vitrectomy.

摘要

在严重玻璃体混浊的病例中,玻璃体抽吸仍是一种有用的手术方法。尽管玻璃体切除术技术完善且效果良好,但在做出明确决定之前,应考虑进行玻璃体抽吸的可能性。玻璃体抽吸的手术技术非常简单,从不需行晶状体切除术,而且如果抽吸操作失败,后续进行玻璃体切除术的可能性也不会受到影响。如果考虑到患眼几乎绝望的状况、严重的糖尿病全身性血管病变以及抵抗力差等情况(这些情况在术后发生眼内炎的个体中通常存在),那么并发症(即视网膜脱离和细菌性眼内感染)的发生率是合理的。玻璃体抽吸作为一种小型的玻璃体切除术仍然是可以接受的。

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