Zang J, He L, Bao J, Zhu Y, Zhou B
Department of Ophthalmolgy, Guangzhou Railway Central Hospital, Guangzhou, China.
Yan Ke Xue Bao. 1995 Jun;11(2):105-7.
To raise operative successful rate of complicated retinal detachment, we used the methods of vitrectomy combined with scleral buckling for the treatment of complicated retinal detachment.
The operative methods included: scleral buckling, vitrectomy, membrane peeling, intraocular and extraocular drainage, gas and silicone oil tamponade.
Being followed up for 1-16 months, 22 eyes got anatomic reattachment in 29 eyes, the operative successful rate was 75.8%; 15 eyes were injected with silicone oil intraocular tamponade, with 12 eyes getting reattachment. The successful rate was 80%.
Since the vitreous surgery is used, it is possible for the treatment of complicated retinal detachment, the operative successful rate can be raised. The technique of membrane peeling and intraocular tamponade was very important. Silicone oil has been accepted by more and more ophthalologists in the world, which acts as an effective material of intraocular tamponade.
为提高复杂性视网膜脱离的手术成功率，采用玻璃体切除术联合巩膜扣带术治疗复杂性视网膜脱离。
手术方法包括：巩膜扣带术、玻璃体切除术、膜剥除术、眼内及眼外引流术、气体及硅油填充术。
随访1 - 16个月，29眼中22眼获得解剖复位，手术成功率为75.8%；15眼行硅油眼内填充，12眼复位，成功率为80%。
应用玻璃体手术治疗复杂性视网膜脱离成为可能，可提高手术成功率。膜剥除术及眼内填充技术非常重要。硅油作为一种有效的眼内填充材料已被世界上越来越多的眼科医生所接受。
