显微眼内镜在眼外伤前后段联合手术中的应用.docVIP

显微眼内镜在眼外伤前后段联合手术中的应用 2005年6月 第26卷第3期 Jun.2005 V01.26NO.3 显微眼内镜在眼外伤前后段联合手术中的应用?专题报道? 庞秀琴郑鹏飞杨勋何雷史翔宇 (首都医科大学附属北京同仁医院北京同仁眼科中心) 摘要:目的探讨应用眼内镜实施眼外伤前后段联合手术的意义.方法对92例不同情况的眼外伤患者,应用眼内镜实 施手术,包括:晶状体玻璃体切除,睫状突光凝,眼内异物摘出,视网膜脱离复位及辅助检查眼底周边部.结果角膜混浊 行眼后段手术的52例中,合并眼内异物者全部摘出;视网膜脱离者眼内填充硅油,视网膜复位.40例继发青光眼患者,行 晶状体或(和)玻璃体切除联合睫状突光凝,34例眼压控制,术后平均眼压(16.79±3.01)mmHg[(2.24±0.40)kPa],6例眼 压失控,再次行睫状体光凝.结论眼内镜下不失时机地对角膜混浊合并眼后段病变及难治性青光眼进行前后段联合手 术,效果理想. 关键词:显微眼内镜;眼外伤;联合手术 中图分类号:R779.62 ApplicationofOcularMicro-endoscopetotheTherapyof ComplicatedOcularTrauma PangXiuqin,ZhengPengfei,YangXun,HeLei,ShiXiangyu (BeijingTongrenOphthalmicCenter,BeljingTongrenHosplml,CapitalUniversityofMedicalSciences) ABSTRACT:0bjectiveToevaluatetheeffectofocularmicro-endoscopetotrotcomplicatedoculartrauma.Methods92 patientswithsevereoculartraumaweretreatedwithcomplicatedpost—segmentoperationsunderocularmicro-endoscope,including lens-vitrectomy,cyclophotocoagulation,intraocularforeignbodyextraction,retinareattachment,peripheralretinaexamination. Results52patientswithpost—segmentdisordersandseverecorneacloudywereundergonewithvitrectomyunderthemicro- endoscope.Allintraocularforeignbodieswereextracted.Thosepatientswithretinadetachmentweretamponatedwithsiliconeoil andtheirretinagotanatomicreattachment.40patientswithsecondaryglaucomaweretreatedwithcyclophotocoagulation.The intraocularpressureof34/40patientswereundercontrolandthemeanintraocularpressurewas(16.79±3.01)mmHg 收稿日期:2004—05～19 神经上皮下CNV患者的治疗方法主要适用于非 AMD患者及病程早期的AMD患者. 4参考文献 [1]GassJD.Biomicroscopicandhistopathologic considerationsregardingthefeasibilityofsurgical excisionofsubfovealneovascularmembranes.AmJ Ophthalmol,1994,118:285～298 [2]中华医学会眼科学分会眼底病学组.老年性黄斑变性 临床诊断标准.眼底病,1987,3:封三 [3]HeeMR,BaumalCR,PuliafitoCA,eta1.Optical coherencetomographyofage—relatedmacular degenerationandchoroidalneovascularization. Ophthalmology,1996,103:1260～1270 l4jGiovanniniA,AmatoGP,MariottiC,eta1.OCT imagingofchoroidalneovascularisationanditsrolein thedeterminationofpatientseligibilityforsurgery.Br JO