气动视网膜固定术治疗孔源性视网膜脱离的疗效观察

Ejaz Ahmad Javed, H. Subhani
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摘要

目的:探讨孔源性视网膜脱离伴上断裂处气动视网膜固定术后的最终解剖成功(视网膜附着)。研究设计:准实验研究。地点:巴基斯坦费萨拉巴德联合医院(费萨拉巴德医科大学)眼科。时间:2016年1月至2018年6月,为期两年零6个月。方法:对78例经诊断为孔源性视网膜脱离的病例进行分析。在玻璃体腔内注射0.5ml SF6,在相同的环境下冷冻固定裂口,并适当定位。69例(88.5%)有孔源性视网膜脱离的患者在气动视网膜固定术后最终解剖成功(视网膜附着)。结果:气动视网膜固定术治疗孔源性视网膜脱离的成功率为88.5%,失败率为11.5%。结论:术后解剖和功能效果良好,可作为孔源性视网膜脱离(RRD)修复的首选手术方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Efficacy of Pneumatic Retinopexy in Selected Cases of Rhegmatogenous Retinal Detachment
Objective: To determine the final anatomical success (Retinal attachment) after pneumatic retinopexy in patients having rhegmatogenous retinal detachment with superior breaks. Study Design: Quasi experimental study. Settings: Ophthalmology Department Allied Hospital (Faisalabad Medical University) Faisalabad Pakistan. Duration: Two years & 6 moths from January 2016 to June 2018. Methodology: This study was done on 78 diagnosed cases of rhegmatogenous retinal detachment with superior breaks.  These cases underwent Pneumatic Retinopexy (PR) by injecting 0.5ml of SF6 in the vitreous cavity and Cryopexy to the break in the same setting followed by proper positioning. Final anatomical success (Retinal attachment) after pneumatic retinopexy in patients having rhegmatogenous retinal detachment with superior breaks was recorded in 69 patients (88.5%). Results: Pneumatic Retinopexy showed 88.5% success in selected cases of rhegmatogenous retinal detachment and 11.5% failure after this procedure. Conclusion: The post-operated anatomical and functional results were excellent so favoring this technique to be applied as primary procedure for repair of Rhegmatogenous retinal detachment (RRD).
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