Green S N, Yarian D L, Masciulli L, Leff S R
Department of Ophthalmology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, New Brunswick, USA.
Ophthalmology. 1996 Nov;103(11):1804-10. doi: 10.1016/s0161-6420(96)30423-5.
The purpose of the study is to report on a series of patients with retinal detachments that were repaired in an office setting using a temporary Lincoff balloon scleral buckle.
A retrospective review was performed on 162 consecutive casepatients with retinal detachment repaired in the authors' office between January 1989 and June 1995 using a temporary Lincoff balloon scleral buckle. All procedures were performed using local anesthesia and minimal equipment.
The retina was attached completely with a single procedure in 88% of patients. Of the 19 retinas (12%) that failed primary surgery, all except 1 ultimately were reattached using traditional scleral buckling in 14, combined scleral buckling and vitrectomy in 3, and pneumatic retinopexy in 1, for a total success rate of 99.4%. Complications were minimal.
A temporary Lincoff balloon scleral buckle can be used safely and effectively in an office setting for retinal detachment repair. The results are comparable to other available methods that take more time, involve greater risk, have higher complication rates, and are more costly. This technique represents a viable alternative, particularly in a managed care environment.
本研究旨在报告一系列在门诊环境中使用临时林科夫球囊巩膜扣带修复视网膜脱离的患者情况。
对1989年1月至1995年6月期间在作者门诊使用临时林科夫球囊巩膜扣带修复视网膜脱离的162例连续病例患者进行回顾性研究。所有手术均采用局部麻醉且使用最少的设备。
88%的患者通过单次手术视网膜完全复位。在初次手术失败的19只视网膜（12%）中，除1只外，其余最终均通过以下方法复位：14只采用传统巩膜扣带术，3只采用巩膜扣带联合玻璃体切除术，1只采用气体视网膜固定术，总成功率为99.4%。并发症极少。
临时林科夫球囊巩膜扣带可在门诊环境中安全有效地用于视网膜脱离修复。其结果与其他耗时更长、风险更大、并发症发生率更高且成本更高的现有方法相当。该技术是一种可行的替代方法，尤其在管理式医疗环境中。
