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视网膜脱离手术中的玻璃体切除术。

Vitrectomy in retinal detachment surgery.

作者信息

Shea M, Siebert L F

出版信息

Can J Ophthalmol. 1977 Oct;12(4):281-8.

PMID:922570
Abstract

Pars plana vitrectomy has provided an approach to those situations in which treatment of a retinal detachment becomes impossible due to vitreous pathology. The records of the first 207 pars plana vitrectomies performed by one of us (M.S.) were reviewed and attention was focused on the combined vitrectomy-scleral buckle procedures, particularly with regard to anatomical reattachment and visual improvement. This group was then divided into those in which a one-handed technique was used (29 procedures on twenty-eight eyes, involving 27 patients) and those in which a two-handed technique was used (22 procedures on twenty-two eyes of twenty-two patients). A combined vitrectomy scleral buckle approach has succeeded in reattaching the retina in a number of cases and provided a number of patients with worthwhile visual improvement.

摘要

玻璃体切除术为那些因玻璃体病变而无法治疗视网膜脱离的情况提供了一种治疗方法。我们中的一人(M.S.)对首批207例玻璃体切除术的记录进行了回顾,并将重点放在玻璃体切除联合巩膜扣带术上,尤其是在视网膜解剖复位和视力改善方面。然后将该组患者分为使用单手技术的患者(对28只眼进行了29次手术,涉及27名患者)和使用双手技术的患者(对22名患者的22只眼进行了22次手术)。在许多病例中,玻璃体切除联合巩膜扣带术成功地使视网膜复位,并使许多患者的视力得到了有价值的改善。

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