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目的探讨黄斑孔未做光凝如何行玻璃湾切除达到保护术后视力,观察硅油填充时间,视网膜复位情况。方法行标准三切口玻璃体视网膜联合术,并且注入硅油和惰性气体。结果观察12例(12眼)的发病因素、术前术后视力、硅油填充时间、视网膜复位情况、术后随访等。结论该术式视网膜复位率高,无黄斑孔周围光凝,对视细胞的损害小,术后视力相对好,但易出现白内障及再脱离现象。
Objective To investigate how macular hole without photocoagulation how to cut glass Bay to protect the visual acuity, observe the silicone oil filling time, retinal reattachment. Methods The standard three-incision vitreoretinal surgery, and injection of silicone oil and inert gas. Results The incidence of 12 cases (12 eyes), preoperative and postoperative visual acuity, silicone oil filling time, retinal reattachment, follow-up and so on. Conclusion The technique has a high rate of retinal reattachment, no photocoagulation around the macular hole, small damage to the optic cell and relatively good postoperative visual acuity, but prone to cataract and re-detachment.