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複雜性視網膜剝離合併嚴重增殖性玻璃體視網膜病變的手術處理

Surgical Management of Complicated Retinal Detachment with Severe Proliferative Vitreoretinopathy

摘要


增殖性玻璃體視網膜病變(PVR)是現網膜復位手術失敗的主因。我們報告15例PVR C3以上的病例接受手術治療的結果。手術技術包括玻璃體切除術,網膜上纖維膜剝除,網膜切開或切除,內引流,眼球內光凝固,矽油填充,鞏膜環扣等,其中6例視網膜完全復往,3例黃斑部復位,6例失敗。6例完全復位中有5例視力進步或穩定,1例退步。

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並列摘要


Proliferative vitreoretinopathy is the leading cause of failure in retinal reattachment surgery. We reported a series of 15 cases of complicated RD with severe PVR treated by vitrectomy and supplemental procedures including endophotocoagulation, silicone oil tamponade, membrane peeling, retinectomy etc. The result is that 6 cases are completely reattached, 6 cases are considered failure, and only macular reattachment is found in another 3 cases. In 5 of the 6 successful cases, visual acuity are improved or stable, the rest become worse.

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