[高度近视眼视网膜脱离的临床特点及治疗挑战]。

L El Matri, A Chebil, F Mghaieth, N Chaker, R Limaiem, M Bouladi, A Baba
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引用次数: 0

摘要

目的:探讨高度近视眼视网膜脱离的临床特点及治疗挑战。患者和方法:我们回顾性回顾了2001年至2008年间79例高度近视(> 6.00屈光度或轴长>或= 26.00 mm)接受视网膜脱离手术的83只眼的医疗记录。手术入路取决于视网膜断裂的类型和位置、近视程度和PVR的等级。结果:患者平均年龄53.9岁,男性48例,女性31例。屈光不正- 10 ~ - 25 D(平均- 14.0 D),平均随访19.4个月。外周或赤道视网膜撕裂52例(62.6%),黄斑裂孔14例(16.8%),巨大视网膜撕裂6例(7.2%),后血管旁视网膜撕裂11例(13.2%)。单次手术解剖成功65例(78.3%),巩膜扣术后17例,玻璃体切割术后46例。最终解剖成功76例(91.5%)。术后出现出血并发症16例(19.2%)。结论:视网膜脱离是高度近视的严重并发症。它常发生在年轻患者身上。由于解剖和临床条件,治疗困难。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
[Clinical characteristics and therapeutic challenges of retinal detachment in highly myopic eyes].

Purpose: To evaluate the clinical characteristics and therapeutic challenges of retinal detachment in highly myopic eyes.

Patients and methods: We retrospectively reviewed the medical records of 83 eyes in 79 patients with high myopia (> 6.00 diopters or axial length > or = 26.00 mm) who underwent surgery for retinal detachment between 2001 and 2008. The surgical approaches depended on the type and location of the retinal break, the degree of myopia, and the grade of PVR.

Results: The mean age of patients (48 men and 31 women) was 53.9 years. Refractive error ranged from - 10 D to - 25 D (mean was - 14.0 D). The mean follow-up was 19.4 months. Peripheral or equatorial retinal tears were present in 52 cases (62.6%), a macular hole in 14 cases (16.8%), a giant retinal tear in 6 cases (7.2%), and posterior paravascular retinal tears in 11 cases (13.2%). Single-surgery anatomic success was achieved in 65 cases (78.3%), with 17 cases after scleral buckle surgery and 46 cases after pars plana vitrectomy. Final anatomic success was achieved in 76 cases (91.5%). Per and postoperative hemorrhagic complications occurred in 16 cases (19.2%).

Conclusion: Retinal detachment is a serious complication of high myopia. It often occurs in young patients. Treatment is difficult due to anatomical and clinical conditions.

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