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目的探讨视网膜脱离最小量手术(单纯巩膜外加压+冷凝术)治疗孔源性视网膜脱离的临床效果。方法对145例145眼孔源性视网膜脱离患者行视网膜脱离最小量手术。结果138例138眼1次手术后视网膜复位成功,成功率95.2%。失败7眼,其中6眼再次手术后复位,另1眼行玻璃体切割手术后视网膜复位。术后第1天视网膜下液完全吸收者102眼(70.3%),30眼术后2~3 d完全吸收,4眼术后3~7 d吸收,2眼术后15 d以后吸收。随访3个月,视力均较术前提高。结论在双目间接眼底镜下实施最小量视网膜脱离手术是治疗绝大部分孔源性视网膜脱离的较好方法。
Objective To investigate the clinical effect of minimally invasive retinal detachment surgery (simple extracapsular pressure plus condensation) in the treatment of rhegmatogenous retinal detachment. Methods The minimal retinal detachment procedure was performed in 145 eyes of 145 patients with rhegmatogenous retinal detachment. Results 138 cases of 138 eyes after a successful retinal reattachment, the success rate of 95.2%. Seven eyes failed, of which 6 eyes underwent reoperation after surgery, and the other underwent retinal reattachment after vitrectomy. 102 eyes (70.3%) were completely absorbed by subretinal fluid on day 1 postoperatively, 30 eyes were completely absorbed 2 ~ 3 days after operation, 4 eyes were absorbed 3 ~ 7 days after operation, and 2 eyes were absorbed after 15 days. Follow-up 3 months, visual acuity were improved compared with preoperative. Conclusion The minimal retinal detachment surgery under binocular indirect ophthalmoscopy is a good method to treat the majority of rhegmatogenous retinal detachment.