Hartnett M E, Hirose T
Schepens Retina Associates, Boston, Massachusetts, USA.
Retina. 1998;18(2):125-9. doi: 10.1097/00006982-199818020-00005.
To share the authors' experience with cyanoacrylate glue in posterior retinal breaks associated with retinal detachments in infants and children.
A retrospective study was performed of four consecutive pediatric patients who underwent vitreoretinal surgery for retinal detachment associated with posterior retinal breaks, for which cyanoacrylate glue was used.
In three of the four patients, successful retinal reattachment with visual function was achieved by vitreoretinal surgery and cyanoacrylate placed on the apposed edges of posterior retinal breaks or used to plug a break (postoperative follow-up was 1.5-2 years). In two successful cases, the glue was applied onto the break while the retina was detached, which resulted in closure of the retinal breaks and reattachment of the retina in both cases.
Cyanoacrylate creates a permanent closure of retinal breaks and may be useful in select cases of infant retinal detachment with posterior retinal breaks in which current available treatment failed or would fail.
分享作者使用氰基丙烯酸酯胶水治疗婴幼儿视网膜脱离伴视网膜后裂孔的经验。
对连续4例因视网膜脱离伴视网膜后裂孔接受玻璃体视网膜手术并使用氰基丙烯酸酯胶水的儿科患者进行回顾性研究。
4例患者中有3例通过玻璃体视网膜手术及将氰基丙烯酸酯胶水置于视网膜后裂孔的对合边缘或用于封闭裂孔，实现了视网膜成功复位并保留了视功能（术后随访1.5 - 2年）。在2例成功病例中，胶水是在视网膜脱离时应用于裂孔处，这两例均实现了视网膜裂孔闭合及视网膜复位。
氰基丙烯酸酯可永久性封闭视网膜裂孔，对于当前可用治疗方法失败或可能失败的婴幼儿视网膜脱离伴视网膜后裂孔的特定病例可能有用。
