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目的 :研究复发性视网膜脱离的原因和治疗。方法 :对 4 0眼复发性视网膜脱离的原因和外科手术治疗进行分析。结果 :复发性视网膜脱离 4 0眼中 ,原裂孔未封闭 8眼 ,出现新裂孔或遗漏裂孔 12眼 ,巩膜嵴偏位 7眼 ,裂孔区凝固过度局部视网膜皱缩牵拉成裂孔 3眼 ,裂孔后缘鱼嘴形成 4眼 ,视网膜皱褶形成 6眼。手术后解剖复位 32眼 ,占 80 %。结论 :增殖性玻璃体视网膜病变 (PVR)形成或加重是视网膜脱离复发最重要的原因。确定视网膜脱离复发的原因 ,根据病情选择合理的手术方法 ,掌握适当的手术时机 ,是保证手术成功的重要环节。
Objective: To study the causes and treatment of recurrent retinal detachment. Methods: The causes and surgical treatment of 40 eyes with recurrent retinal detachment were analyzed. Results: Among the 40 eyes with recurrent retinal detachment, 8 were not occluded in the primary hole, 12 were new or missing, 7 were scleral ridges, 3 were overcured by retinal shrinkage, Mud edge of the formation of 4 eyes, the formation of 6 eyes retinal folds. Anatomic reduction after surgery 32 eyes, accounting for 80%. CONCLUSIONS: The most important cause of retinal detachment is the formation or aggravation of proliferative vitreoretinopathy (PVR). Determine the reasons for the recurrence of retinal detachment, according to the condition to choose a reasonable surgical method, to grasp the appropriate timing of surgery, is an important part of ensuring the success of the operation.