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目的 评价玻璃体手术中利用原裂孔气液交换治疗复杂性视网膜脱离的效果。方法 对 5 1例 (5 1眼 )复杂性视网膜脱离患者采用环扎加压术加玻璃体切除术、利用原裂孔进行气液交换 (fluid- air exchange简称FA)后眼内填充 C3F8气体 ,其中 2 2例 (2 2眼 )行完整 FA术 ,2 9例 (2 9眼 )行不全 FA术。结果 术后平均随访 92 .3天观察视网膜最终复位率及视力 ,全 FA组与不全 FA组比较无明显差异 (P>0 .0 5 )。结论 利用原裂孔进行气液交换 ,并采用不同剂量 C3F8眼内填充是一种较为简单可行的手术方法。
Objective To evaluate the effect of vitreous fluid exchange in the treatment of complex retinal detachment with vitrification. Methods 51 patients (51 eyes) complicated with retinal detachment were treated with cerclage and vitrectomy. The fissure of C3F8 gas was filled into the eye with fluid-air exchange (FA), of which 2 Two cases (22 eyes) performed complete FA and 29 cases (29 eyes) failed FA. Results The average postoperative retinal detachment rate and visual acuity were observed on 92.3 days follow-up. There was no significant difference between the FA group and the FA group (P> 0.05). Conclusion It is a simple and feasible surgical method to use the original hole for gas-liquid exchange and to use different doses of C3F8 intraocular filling.