目的:观察现代闭合玻璃体切除联合C3F8混合气体或硅油填充治疗黄斑裂孔性视网膜脱离的效果。方法:利用常规闭合玻璃体切除联合C3F8混合气体或硅油填充方法治疗19例19眼高度近视性黄斑裂孔性视网膜脱离患者,术后观察视力、眼压及眼底黄斑裂孔闭合情况。结果:黄斑裂孔闭合情况:19例黄斑裂孔全部闭合,视网膜复位良好;随访4mo时,未见裂孔复发需再次手术修补者。术后随访4～12mo,未发现白内障病情进展。视力和眼压:手术后患者视力提高2行以上者6例(32%),不变13例(68%)。术后1mo内检测眼压,发现仅有1例(5%)眼压升高,给予局部降眼压药后眼压降至正常。结论:现代闭合玻璃体切除联合C3F8混合气体或硅油填充方法治疗黄斑裂孔性视网膜脱离具有较好的疗效。

AIM:To observe the clinical efficacy of modern closed vitrectomy combined with C3F8 mixed gas or silicone oil injection for retinal detachment with macular hole from the January 2007 to October 2009. ·METHODS:Patients with retinal detachment with macular hole underwent modern closed vitrectomy combined with silicone oil injection.The visual acuity,intraocular pressure and closure situation of macular hole were observed postoperatively. ·RESULTS:The closure situation of macular hole:all cases of macular hole were closed with the fine retinal reattachment; After following-up for 4 months,none of cases required reoperation. After follow-up of 4 to 12 months,patient with progression of cataract was not found. Visual acuity and intraocular pressure:postoperatively the improvement of visual acuity (above 2 lines) were in 6 eyes (32%),unchanged in 13 eyes (68%),descent (above 2 lines) in 0 eye. At 1 month after operation,only 1 case (5%) presented the rising of intraocular pressure,while topical intraocular pressure reduced to normal after treatment. ·CONCLUSION:The modern closed vitrectomy combined with C3F8 mixed gas or silicone oil injection has a good therapeutic effect for retinal detachment with macular hole.

R779.6