儿童孔源性视网膜脱离手术治疗特点及疗效分析
姜燕荣;黎晓新;殷春悦
【期刊名称】《中华眼科杂志》 【年(卷),期】2001(037)003
【摘要】Objective To assess the effectiveness of different surgeries for retinal detachment in juveniles. Methods A retrospective analysis of the clinical therapeutic effects of various surgical treatments on 108 cases (116 eyes) in the age range of 3-14 years (mean, 9.6 years) was performed. Results
Twenty-one eyes underwent scleral buckling
procedure, and the retina was reattached in 19 eyes primarily. Fourteen eyes obtained post-operative visual acuity ≥0.02. Ninety-seven eyes underwent vitrectomy, 58 (59.8%) eyes achieved retinal reattachment primarily and 83 eyes (85.6%) achieved retinal reattachment finally. Among them, retinal reattachment occurred in 7 of 11 gas-filled eyes, and the post-operative visual acuity ≥0.02 in 5 eyes; and the reattachment occurred in 51 (57.3%) of 89 silicone oil-filled eyes, requiring only the primary repair. Of the silicone oil-filled eyes, 76 (85.4%) eyes achieved retinal reattachment finally. Fifty-nine (66.3%) silicone oil-treated eyes had visual acuity ≥0.02 compared with 45.5% in long-acting-gas-treated eyes. Conclusions Scleral buckling is a beneficial method in treatment of retinal detachment in juveniles. Vitrectomy should be considered for complicated retinal detachment.
There is an advantage favoring silicone oil tamponade in achieving retinal reattachment. Retinotomy is a useful procedure for the retinal reattachment in eyes with severe proliferative vitreoretinopathy, however, it is necessary to be careful in selection of cases to undergo such a procedure.%目的探讨儿童孔源性视网膜脱离手术治疗特点及疗效。方法对采用不同手术方法治疗的儿童孔源性视网膜脱离患者108例（116只眼）进行临床效果分析。结果 21只眼行巩膜外加压术，1次手术视网膜复位19只眼，术后视力≥0.02者14只眼。97只眼行玻璃体切除术，1次手术视网膜复位58只眼（59.8%），最终视网膜复位83只眼（85.6%），术后视力≥0.02者64只眼（66.0%）。术中使用膨胀气体填充11只眼，1次性视网膜复位7只眼，术后视力≥0.02者5只眼。使用硅油填充89只眼，1次性视网膜复位51只眼（57.3%），最终视网膜复位76只眼（85.4%），术后视力≥0.02者59只眼（66.3%）。结论儿童孔源性视网膜脱离的治疗首选巩膜外加压术。玻璃体切除者，硅油作为眼内填充物较膨胀气体具有更大的优越性。视网膜切开术是严重增殖性玻璃体视网膜病变者视网膜复位的有效方法，但应慎重选择手术对象。 【总页数】4页(167-170)
【关键词】儿童;视网膜脱离;玻璃体切除术;巩膜扣带术 【作者】姜燕荣;黎晓新;殷春悦
【作者单位】北京大学人民医院眼科,;北京大学人民医院眼科,;北京大学人民医院眼科,
【正文语种】中文 【中图分类】R77
【文献来源】
https://www.zhangqiaokeyan.com/academic-journal-cn_chinese-journal-ophthalmology_thesis/0201239548101.html 【相关文献】
1.合并视网膜下增生的儿童孔源性视网膜脱离手术 [J], 杨于力; 刘勇; 余涛; 杨红; 王一; 陈少军; 阴正勤
2.玻璃体视网膜手术治疗外伤性视网膜脱离合并增生性玻璃体视网膜病变的临床观察 [J], 张琼; 陈松; 王昀; 宫丽; 王德功; 林莉
3.玻璃体腔注射C3F8联合玻璃体手术治疗脉络膜脱离型视网膜脱离的疗效 [J], 孙光丽; 姚进; 徐向忠; 沈轶
4.玻璃体视网膜手术联合巩膜扣带术治疗复杂性视网膜脱离 [J], 臧晶; 何利蓉 5.玻璃体手术治疗高度近视黄斑孔性视网膜脱离及合并黄斑孔的裂孔源性视网膜脱离的疗效比较 [J], 夏红和; 陈伟奇; 陈浩宇
以上内容为文献基本信息，获取文献全文请下载
儿童孔源性视网膜脱离手术治疗特点及疗效分析
