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目的 探讨玻璃体切割术联合FLURON注入治疗难治性、复杂性视网膜脱离的方法、疗效、并发症及与惰性气体、硅油注入的比较。方法 分析9例9眼难治性、复杂性视网膜脱离,其中外伤所致的复杂性视网膜脱离3例;视网膜脱离复位术後再脱2例;巨大裂孔4例。病例中合并黄斑裂孔5例。行三切口经睫状体平坦部玻璃体切除术、FLURON(F_6H_8)填充术。术中6例环扎+外垫压+冷凝,4例行黄斑裂孔边缘激光光凝或巨大裂孔边缘激光光凝,2例行内界膜剥出,2例行晶状体咬切术。结果 术後患者视力均优于术前,网膜均平复,有2例出现一过性高眼压,2例出现白内障(前囊和後囊後混浊)。结论 玻璃体切割联合FLURON注入治疗难治性、复杂性视网膜脱离有良好的疗效,与惰性气体、硅油注入比较对下方及後极部的裂孔有更好的疗效;更方便的操作;病人更舒适的体位的优势。但有引起白内障和继发性青光眼的可能。
Objective To investigate the methods of vitrectomy combined with FLURON injection in the treatment of refractory and complicated retinal detachment, its curative effect, complication and comparison with inert gas and silicone oil injection. Methods Nine cases of refractory and complicated retinal detachment were analyzed in 9 cases. Among them, 3 cases were complicated with retinal detachment due to trauma, 2 cases were detached after retinal detachment and resection, and 4 cases were caused by huge hole. Cases of macular hole merger in 5 cases. Line three incision transsclera pars plana vitrectomy, FLURON (F_6H_8) filling. Six patients underwent circumferential banding + external pad compression + condensation. Four patients underwent laser photocoagulation at the edge of macular hole or laser photocoagulation at the edge of a huge hole. Two patients underwent endometrial stripping and two underwent bite cataract extraction. Results The postoperative patients had better visual acuity than those before operation and the omentum were recovered. Two cases had transient elevated intraocular pressure and two cases had cataract (anterior and posterior capsule opacities). Conclusions Vitrectomy combined with FLURON injection has a good curative effect in refractory and complicated retinal detachment. Compared with inert gas and silicone oil injection, the vitrectomy combined with FLURON has a better curative effect on the posterior and posterior part of the hiatus. More convenient operation and more comfortable patient The advantages of posture. But it can cause cataracts and secondary glaucoma.