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为了探讨松驰性视网膜切开术后,患者视网膜解剖复位结果及视力改变情况,作者对连续100例接受这一手术的患眼进行了分析。在随访至少6个月期间,58眼视网膜完全复位,8眼部分复位(黄斑部),34眼在6个月时视网膜脱离。视力大于或等于5/200的占所有手术眼的34％,占术后视网膜复位眼的50％。末次检查发现,29％手术眼和43％术后视网膜复位眼视力大于或等于5/200。环形松驰性视网膜切开的患眼,如果切口涉及整个颞侧象限,其视力较没有涉及颞侧象限的患眼差;放射状视网膜切开的患眼,最终视力也较差。手术切口的长度以及切口的位置在巩膜环扎带之前或之后均对视网膜解剖复位及视力无影响。手术后视网膜复位的患眼有43％出现低眼压(眼内
In order to explore the results of retinal anatomic reduction and visual acuity changes after relaxation retinal revascularization, the author analyzed 100 consecutive patients who underwent this procedure. During at least 6 months of follow-up, 58 of the eyes had a complete reposition of the retina, 8 of the eyes had partial reattachment (macula) and 34 had retinal detachment at 6 months. Visual acuity greater than or equal to 5/200 accounted for 34% of all surgical eyes, accounting for 50% of postoperative retinal reattachment eyes. The final examination found that 29% of the surgical eyes and 43% of the postoperative retinal reset eyesight greater than or equal to 5/200. If the incision involves the entire temporal quadrant, its visual acuity is less affected than that of the temporal quadrant; the affected eye with radial retinal incision has poorer final visual acuity. The length of the incision and the location of the incision had no effect on retinal anatomic reduction and visual acuity before or after the scleral buckling. Postoperative retinal reattachment occurred in 43% of patients with low intraocular pressure (intraocular