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视网膜大裂孔修复失败的机制。

Mechanisms of failure in the repair of large retinal tears.

作者信息

Lincoff H, Kreissig I, LaFranco F

出版信息

Am J Ophthalmol. 1977 Oct;84(4):501-7. doi: 10.1016/0002-9394(77)90441-x.

DOI:10.1016/0002-9394(77)90441-x
PMID:910853
Abstract

An analysis of large tears treated over a decade revealed that while dialyses responded well to circumferential buckling, horseshoe tears responded poorly. A circumferential intrusion of the globe augmented the redundancy of the posterior edge of long tears and predisposed to leaking radical folds. Tears up to 70 degrees responded favorably to radical buckles, often without drainage of subretinal fluid. Beyond 70 degrees and initial procedure with cryopexy and a gas tamponade without buckling reattached the retina occasionally, and if not, would at least reduce the problem to one manageable by local buckling techniques with a more favorable prognosis.

摘要

一项对长达十年间所治疗的大裂孔的分析显示,虽然透析对环形扣带术反应良好,但马蹄形裂孔的反应较差。眼球的环形内陷增加了长裂孔后缘的冗余度,并易导致放射状皱襞渗漏。70度以内的裂孔对放射状扣带术反应良好,通常无需排出视网膜下液。超过70度时,最初采用冷冻疗法和气体填塞且不进行扣带术的手术偶尔能使视网膜复位,若不能复位,至少会将问题简化为可通过局部扣带技术处理的情况,且预后更有利。

相似文献

1
Mechanisms of failure in the repair of large retinal tears.视网膜大裂孔修复失败的机制。
Am J Ophthalmol. 1977 Oct;84(4):501-7. doi: 10.1016/0002-9394(77)90441-x.
2
Results with a temporary balloon buckle for the repair of retinal detachment.使用临时球囊扣带修复视网膜脱离的结果。
Am J Ophthalmol. 1981 Aug;92(2):245-51. doi: 10.1016/0002-9394(81)90780-7.
3
[Minimal surgery in retinal detachment. The clinical experience of 20 years].
Oftalmologia. 1993 Jul-Sep;37(3):221-33.
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Radial buckling in the repair of retinal detachment.视网膜脱离修复中的径向屈曲。
Int Ophthalmol Clin. 1976 Spring;16(1):127-34. doi: 10.1097/00004397-197601610-00012.
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[Minimalizing surgery of retinal detachment].[视网膜脱离的微创外科手术]
Klin Monbl Augenheilkd. 1989 Sep;195(3):126-34. doi: 10.1055/s-2008-1046423.
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Bilateral retinal detachment with giant tears.双侧视网膜脱离伴巨大裂孔
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Retinal detachment surgery. Buckling procedures and drainage of subretinal fluid.
Trans Ophthalmol Soc U K (1962). 1977 Sep;97(4):474-7.
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[Current treatment of simple retinal detachment. Advantages and inconveniences of permanent and temporary scleral buckling compared with gas expansion of the retina].[单纯性视网膜脱离的当前治疗方法。与视网膜气体膨胀相比,永久性和临时性巩膜扣带术的优缺点]
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Novel techniques in scleral buckling.巩膜扣带术的新技巧。
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Pneumatic retinopexy versus scleral buckling for repair of primary rhegmatogenous retinal detachment.
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引用本文的文献

1
The drainage of subretinal fluid: a randomized controlled clinical trial.视网膜下液引流:一项随机对照临床试验。
Trans Am Ophthalmol Soc. 1981;79:517-40.
2
Vitrectomy and fluid/silicone-oil exchange for giant retinal tears: results at six months.玻璃体切除术联合液体/硅油置换治疗巨大视网膜裂孔:六个月时的结果
Br J Ophthalmol. 1984 Jun;68(6):432-8. doi: 10.1136/bjo.68.6.432.
3
The treatment of giant tear detachments using retrohyaloidal perfluorocarbon gases without drainage or vitrectomy.使用后玻璃体腔全氟碳气体治疗巨大裂孔性视网膜脱离,无需引流或玻璃体切除术。
Graefes Arch Clin Exp Ophthalmol. 1987;225(2):94-8. doi: 10.1007/BF02160338.
4
The fishmouth phenomenon in retinal detachment: old concepts revisited.视网膜脱离中的鱼嘴现象:重新审视旧概念。
Br J Ophthalmol. 1979 Jul;63(7):507-10. doi: 10.1136/bjo.63.7.507.