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目的 :研究治疗急性视网膜坏死性视网膜脱离的玻璃体视网膜联合手术效果。方法 :急性视网膜坏死性视网膜脱离 4例患者 ,1例行超声乳化白内障吸出加玻璃体切除加眼内光凝加硅油填充加巩膜环扎术 ;2例行玻璃体切除加眼内光凝加C3F8填充术 ;1例行玻璃体切除加眼内光凝加硅油填充术。结果 :4例患者的炎症均控制良好 ,视网膜均成功复位。随访 9个月～ 3年 ,4例视力分别为 0 0 1(矫正视力 0 12 ) ,0 15,0 1,0 3。结论 :视网膜脱离是急性视网膜坏死的严重并发症 ,通过玻璃体视网膜联合手术 ,可有效地提高视网膜脱离的复位率 ,挽救患者的视功能。
Objective: To study the effect of vitreoretinal surgery in the treatment of acute retinal necrotizing retinal detachment. Methods: Four patients with acute retinal necrosis retinal detachment were treated with phacoemulsification and vitrectomy combined with intraocular photocoagulation plus scleral cerclage. One patient underwent vitrectomy combined with C3F8 filling ; 1 case of vitrectomy plus intraocular photocoagulation plus silicone oil filling. Results: All 4 patients had well-controlled inflammation and the retina was successfully reset. The follow-up ranged from 9 months to 3 years. The visual acuity was 0 0 1 (corrected visual acuity 0 12) and 0 15,0 1,0 3 respectively in 4 cases. Conclusion: Retinal detachment is a serious complication of acute retinal necrosis. Through vitreoretinal surgery, the rate of retinal detachment can be effectively reduced and the visual function can be saved.