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报告１１例（１１眼）先天性脉络膜缺损合并视网膜脱离的玻璃体视网膜手术，采用玻璃体切割及视网膜前膜剥除，气液交换时通过缺损区的裂孔内引流放液，对缺损区边缘及裂孔部分采用巩膜外冷凝，或眼内冷凝和／或光凝，必要时用惰性气体（ＳＦ６或Ｃ３Ｆ８）或硅油填充。平均随访７．７个月，解剖复位率９眼（８１．８％），视力从光感到０．２，其中３眼视力在０．１以上。手术失败的主要原因可能与严重的增殖性玻璃体视网膜病变（ＰＶＲ）、视乳头位于缺损区内、视网膜巨大裂孔及脉络膜脱离有关。
Report of 11 cases (11 eyes) of vitreoretinal surgery with congenital choroidal defects combined with retinal detachment, vitrectomy and retinal premature rupture of the membrane, the gas-liquid exchange through the defect area of the drainage hole drainage, the edge of the defect area and the part of the hole Extra-scleral condensation, or intraocular condensation and / or photocoagulation, if necessary filled with inert gas (SF6 or C3F8) or silicone oil. The average follow-up was 7.7 months. The anatomic reduction rate was 9 eyes (81.8%), the visual acuity was 0.2, and the visual acuity of 3 eyes was above 0.1. The main reason for surgical failure may be associated with severe proliferative vitreoretinopathy (PVR), the presence of the optic disc in the defect area, large retinal tears and choroidal detachment.