摘要
目的观察玻璃体腔注气(C3F8)联合巩膜外引流视网膜下液治疗高度近视黄斑裂孔性视网膜脱离的疗效。方法采用玻璃体腔注气(C3F8)联合巩膜外引流视网膜下液治疗高度近视黄斑裂孔性视网膜脱离患者32例32眼,观察术后视网膜复位、术后视力及并发症发生情况。结果32例32眼中26例26眼(81.25%)治愈;2例2眼(6.25%)好转;4例4眼(12.5%)未愈。在治愈的26例26眼中,视力提高21例21眼(80.77%),视力不变者5例5眼(19.23%),其中2例发生高眼压,通过降眼压处理恢复正常,未发生其他并发症。结论玻璃体腔注气(C3F8)联合巩膜外引流视网膜下液治疗高度近视黄斑裂孔性视网膜脱离,具有安全、有效、操作简单等特点,可作为高度近视黄斑裂孔性视网膜脱离患者的首选治疗方法。
Objective To observe the effect of intravitreal injection of pure C3 F8 combined with drainage of subretinal fluid in treatment of retinal detachment due to macular hole in high myopia. Methods Thirty - two eyes of 32 high myopic patients with retinal detachment due to macular hole were underwent intravitreal injection of pure C3F8 combined with drainage of subretinal fluid,retinal reattachment and postoperative visual acuity and complications were observed. Results Thrty -two cases（32 eyes） were followed up for 6 - 12 months after operation,macular hole closed and retinal reattached in 26 eyes,visual acuity were increased in 21 eyes,intraocular pressure elevation occurred in 2 eyes. Conclusion The use of gas （C3F8 ）intravitreal injection combined with drainage of subretinal fluid through sclera is a safe and effective method in treating retinal detachment due to macular hole in high myopia,it is regarded as the first choice in treating this disease.
出处
《临床医学》
CAS
2006年第7期7-8,共2页
Clinical Medicine
