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目的 :评价应用玻璃体视网膜联合手术 (vitreo -retinalsurgery ,V -R术 )治疗复杂性视网膜脱离的疗效。方法 :应用V -R术治疗视网膜脱离 (网脱 ) 5 4眼 ,其中孔源性网脱伴PVR(C3 级以上 ) 18眼 ,外伤玻璃体积血并牵拉网脱 14眼 ,复发性网脱 9眼 ,合并晶体混浊 6眼 ,血管性并牵拉网脱 3眼 ,后极裂孔 3眼 ,先天性脉络膜缺损并网脱 1眼。结果 :出院时视网膜解剖复位 (完全复位及残留少量视网膜下液 ) 4 4眼 ,术后视力提高 39眼 ,不变 9眼 ,下降 6眼。结论 :通过玻璃体手术 ,切除混浊屈光间质后 ,可根据情况联合进行视网膜复位术 ,为视网膜复位创造条件 ,促进术后视力提高。
Objective: To evaluate the efficacy of vitreo-retinal surgery (V-R) in the treatment of complex retinal detachment. Methods: Fifty-four eyes with retinal detachment (mesh off) were treated with V-R technique. Eighteen eyes with PVR (level C3 or above), vitreous hemorrhage (14 eyes) and reticular detachment 9 eyes, 6 eyes with opacity of crystal, 3 cases of vascular detrusor and 3 cases of posterior fissure, and 1 case of congenital choroidal defect. Results: At the time of discharge, 44 patients underwent retinal anatomic reduction (complete reduction and residual retinal detachment), 39 eyes improved, 9 eyes unchanged and 6 eyes decreased. CONCLUSIONS: After vitrectomy and removal of opacity, the retinal reattachment can be performed according to the situation to create the conditions for retinal reattachment and improve the postoperative visual acuity.