巨大裂孔视网膜脱离手术治疗的研究现状与进展

发布时间：2018-03-05 01:33

  本文选题：巨大裂孔视网膜脱离　切入点：玻璃体切割术　出处：《眼科新进展》2017年10期 　论文类型：期刊论文

【摘要】：巨大裂孔视网膜脱离(giant retinal tear,GRT)是指引起视网膜脱离的裂孔范围在环形方向上≥3个钟位(1个象限)伴有裂孔后缘不同程度翻转的视网膜裂孔。随着科技的发展,GRT的手术成功率大大提高。吊顶灯的应用,可以使术者完成双手操作,23G、25G、27G等显微技术的应用可以方便器械进出,使手术操作范围增加。眼科内镜的应用,可以减少屈光间质对手术的影响。术前眼内药物的应用,可以做好术前准备。但是,是否需要联合巩膜扣带术,是否需要术中摘出晶状体,以及对翻转、僵硬的视网膜的手术方式的选择还存有不同观点。本文从GRT的发病机制、手术方式、术中和术后填充物等方面的现状及进展做一综述。
[Abstract]:Giant retinal detachment (retinal) is a retinal hole with a range of more than 3 clock positions (1 quadrant) in the annular direction and varying degrees of reversal of the posterior edge of the hole. With the development of science and technology, the development of the retinal detachment of the retina means that the range of the retinal detachment is more than 3 clock positions (1 quadrant) in the annular direction. The successful rate of operation is greatly improved. The application of microsurgical techniques such as 23 GG, 25 GG, 27G and so on can facilitate the entry and exit of instruments and increase the scope of operation. The application of ophthalmic endoscopy can reduce the effect of diopter stroma on the operation, and the application of intraocular drugs before operation. However, there are still different views on the need for combined scleral buckling, lens extraction, and the choice of surgical methods for turning over and inflexible retina. This article is based on the pathogenesis of GRT. The present situation and progress of surgical methods, intraoperative and postoperative fillings are reviewed.
【作者单位】： 广西医科大学附属第一医院眼科;
【分类号】：R779.6
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本文编号：1568198