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目的探讨围手术期裂孔不明的孔源性视网膜脱离的治疗方法和疗效。方法回顾性总结47例47眼围手术期裂孔不明的视网膜脱离的临床资料,采用巩膜复位手术15眼,玻璃体手术19眼,玻璃体联合晶状体手术13眼。随访6~36个月,平均(14.5±5.5)个月。结果在47眼中,一次手术成功率为68.1%,视网膜解剖完全复位40眼(85.1%),视力提高33眼,不变10眼,下降4眼。结论治疗围手术期裂孔不明的孔源性视网膜脱离,应根据患眼的情况及时决定治疗方案,以达到最大限度的视网膜解剖复位和功能恢复。
Objective To investigate the treatment and efficacy of perioperative rhegmatogenous retinal detachment. Methods The clinical data of 47 cases with perioperative retinal detachment were retrospectively reviewed. Fifteen eyes underwent scleral reduction surgery, 19 eyes underwent vitrectomy and 13 eyes underwent vitreous lens surgery. The follow-up ranged from 6 to 36 months, with an average of (14.5 ± 5.5) months. Results In 47 eyes, the success rate of primary surgery was 68.1%. Retinal anatomy was completely restored in 40 eyes (85.1%), visual acuity increased in 33 eyes, unchanged in 10 eyes and decreased in 4 eyes. Conclusion Perioperative treatment of rhegmatogenous retinal detachment is unknown, should be based on the situation of the affected eyes in a timely manner to determine the treatment options in order to achieve the maximum anatomic reduction and functional recovery of the retina.