Weinberger D, Stiebel-Kalish H, Crystal O, Axer-Siegel R, Mosseive Y, Yassur Y
Department of Ophthalmology, Rabin Medical Center, Petah Tiqva, Israel.
Ophthalmic Surg Lasers. 1998 Jan;29(1):43-7.
Pneumatic retinopexy is used as a primary procedure for the repair of retinal detachments caused by visible retinal tears. Its application for late-onset recurrent retinal detachments following previous pneumatic retinopexy or scleral buckling procedure has not been reported to date.
Pneumatic retinopexy was performed in 12 patients with recurrent retinal detachments due to new retinal tears who presented 6 months to 10 years after pneumatic retinopexy (8 patients) or scleral buckling surgery (4 patients). Follow-up ranged from 6 to 24 months.
All the retinas reattached within the first few postoperative days and remained attached throughout follow-up. No intraoperative or postoperative complications were observed. Visual acuity either remained unchanged (if good before) or improved.
Pneumatic retinopexy may be a feasible option for recurrent late-onset retinal detachment under the proper clinical conditions.
气体视网膜固定术被用作修复由可见视网膜裂孔引起的视网膜脱离的主要手术方法。迄今为止，其在先前气体视网膜固定术或巩膜扣带术后迟发性复发性视网膜脱离中的应用尚未见报道。
对12例因新的视网膜裂孔导致复发性视网膜脱离的患者进行了气体视网膜固定术，这些患者在气体视网膜固定术（8例）或巩膜扣带手术（4例）后6个月至10年出现症状。随访时间为6至24个月。
所有视网膜在术后最初几天内复位，并在整个随访期间保持附着。未观察到术中或术后并发症。视力要么保持不变（如果术前良好），要么有所改善。
在适当的临床条件下，气体视网膜固定术可能是复发性迟发性视网膜脱离的一种可行选择。
