论文部分内容阅读
目的:探讨二次玻璃体视网膜手术治疗复杂性外伤性视网膜脱离的疗效。方法:分析26只眼在VRS后因出现视网膜前膜或视网膜脱离,在术后7天～6月分别再次行玻璃体视网膜手术等2次以上手术,并对第二次手术原因进行分析。结果:术后增生性玻璃体视网膜病变复发,视网膜裂孔封闭不良,首次手术玻璃体切除不彻底为第一次玻璃体手术失败的主要原因。二次手术后视网膜完全解剖复位23,2例因局限性视网脱离分别再行玻璃体切割联合巩膜环扎或视网膜切开术,失败1只眼,总有效率89.29%。术后视力提高者20只眼(76.92%)。结论:彻底清除PVR,恢复视网膜活动度,选择合适封孔方式及眼内填充物,能够复位视网膜,并恢复部分视力。
Objective: To investigate the effect of secondary vitreoretinal surgery in the treatment of complex traumatic retinal detachment. Methods: Twenty - six eyes underwent retinal detachment due to retinal detachment after VRS. Vitreoretinal surgery was performed more than twice in 7 days and 6 months after operation respectively. The causes of the second surgery were analyzed. Results: Postoperative proliferative vitreoretinopathy recurrence, retinal hole closure, the first operation of vitrectomy is not complete for the first failure of the main vitreous surgery. Complete reattachment of the retina after secondary surgery 23,2 cases of retinal detachment due to limitations of re-vitrectomy combined with scleral buckling or retinal incision, failed in 1 eye, the total effective rate was 89.29%. Postoperative visual acuity in 20 eyes (76.92%). Conclusion: The complete removal of PVR, restoration of retinal activity, selection of suitable sealing methods and intraocular fillings, can reset the retina, and restore some vision.