Krohn J, Seland J H
Department of Ophthalmology, University of Bergen, Norway.
Acta Ophthalmol Scand. 1998 Aug;76(4):499-502. doi: 10.1034/j.1600-0420.1998.760421.x.
To report the treatment of exudative retinal detachment in a patient with nanophthalmos.
A 46-year-old man with bilateral nanophthalmos suffered from acute angle-closure glaucoma in his left eye. The first day after a peripheral iridectomy an exudative retinal detachment was observed. Two months later a partial thickness sclerectomy with a central sclerostomy, covered by a thin film of absorbable gelatine, was performed in each quadrant of the left eye.
The retinal detachment gradually resolved and after eight months the retina was completely reattached. Vision, which had been limited to hand movements, improved to 6/18 with correction.
Scleral resections are effective in the treatment of nanophthalmic retinal detachment. The use of absorbable gelatine film to cover the sclerectomized area may prevent regeneration of scleral tissue and recurrence of the exudative retinal detachment.
报告一例小眼球患者渗出性视网膜脱离的治疗情况。
一名46岁双侧小眼球男性患者左眼患急性闭角型青光眼。周边虹膜切除术后第一天观察到渗出性视网膜脱离。两个月后，在左眼每个象限进行了部分厚度巩膜切除术并做中央巩膜造口术，用可吸收明胶薄膜覆盖。
视网膜脱离逐渐消退，八个月后视网膜完全复位。术前仅能进行手动视力检查，矫正后视力提高到6/18。
巩膜切除术对治疗小眼球性视网膜脱离有效。使用可吸收明胶薄膜覆盖巩膜切除区域可防止巩膜组织再生和渗出性视网膜脱离复发。
