Ilńitskiĭ V V, Saksonova E O, Guréva N V
Department of Eye Diseases of State Medical University, Moscow.
Vestn Oftalmol. 1997 Mar-Apr;113(2):3-5.
A method for surgical treatment of grave detachment of the retina with multiple, giant, and postequatorial ruptures has been developed. The method consists in combined extrascleral filling making use of bichannel silicon explants. A total of 78 patients (78 eyes) were operated on. For control the results of 30 interventions on 30 eyes (30 patients) with similar injuries have been analyzed; in this group traditional methods of combined filling with standard silicon explants were used. The patients were followed up for up to 7 years. In the main group adherence of the retina was observed in 71.8% of cases in remote periods and in 82% after repeated surgery (relapses of retinal detachment occurred in 15.4% of cases). In controls complete adherence was attained in 60% of cases and in 76.7% of those operated on repeatedly (relapses occurred in 23.3%). The developed models of bichannel silicon explants are simpler and more effective than the traditional methods.
已经研发出一种针对伴有多处巨大赤道后视网膜裂孔的严重视网膜脱离的手术治疗方法。该方法包括使用双道硅胶植入物进行巩膜外联合填充。共有78例患者（78只眼）接受了手术。为了进行对照，分析了30例患者（30只眼）类似损伤的30次干预结果；该组采用标准硅胶植入物进行联合填充的传统方法。对患者进行了长达7年的随访。在主要组中，远期71.8%的病例视网膜粘连，再次手术后为82%（视网膜脱离复发率为15.4%）。在对照组中，60%的病例完全粘连，再次手术者为76.7%（复发率为23.3%）。所研发的双道硅胶植入物模型比传统方法更简单、更有效。
