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目的：探讨视网脱离中病变严重、常规治疗很困难的增殖性玻璃体视网膜病变（ｐｒｏｌｉｆｅｒａｔｉｖｅｖｉｔｒｅｏｒｅｔｉｎｏｐａｔｈｙ，ＰＶＲ）Ｄ３级伴严重前部玻璃体增殖患者的治疗方法。方法：回顾分析１９９４年７月～１９９５年１２月我中心用巩膜冷凝、环扎、硅胶外加压，玻璃体切除，视网膜前膜分离、切除，视网膜松解性切开、切除，过氟化碳液体注入，眼内外排液及硅油眼内填充等方法综合治疗ＰＶＲ－Ｄ３级伴严重前部ＰＶＲ患者１４例１４只眼的临床及随访结果。结果：１４只眼中，１０只眼视网膜完全复位，３只眼次全复位，１只眼失败。术后视力除未成功者外，其余均有所提高，视力达０．０２或以上者９只眼。结论：运用各种玻璃体视网膜显微手术技术，辅以过氟化碳液体及硅油眼内填充等全面积极地治疗，可使部分严重、复杂的视网膜脱离患者得以治愈，恢复有用视力。
Objective: To investigate the treatment of proliferative vitreoretinopathy (PVR) with severe anterior vitreous hyperplasia in severe retinal detachment and routine treatment. Methods: From July 1994 to December 1995, the center of our hospital was treated with scleral condensation, cerclage, external application of silica gel, vitrectomy, retinal detachment, resection, retinal detachment, excision and perfluorocarbon Liquid injection, intra-and extra-ocular drainage and intraocular injection of silicone oil and other methods in the comprehensive treatment of PVR-D3 grade with severe anterior PVR in 14 patients 14 cases of clinical and follow-up results. Results: In 14 eyes, the retina was completely restored in 10 eyes, totally subsided in 3 eyes and failed in one eye. In addition to the postoperative visual acuity was not successful, the rest have improved visual acuity of 0.02 or more in 9 eyes. Conclusion: All kinds of vitreoretinal microsurgery combined with the comprehensive and aggressive treatment of intracapsular fluid such as perfluorocarbon liquid and silicone oil can cure some patients with severe and complex retinal detachment and restore useful visual acuity.