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视网膜切开与切除手术临床应用初步报告

Absract PURPOSE:TO inquire into usage of retinotmy and retinecomy in complicaed retinal detachment and subretinal operation. METHODS:To analysing retrospectively 28 cases of compicated retinal detachment and subretinal hemrrhage and novascular membrane receiving retinotomy and retinectomy from Jan.1994 to Apr.1995. RESULTS:Ten from 11cases receiving internal dranage,datached retinas reattached.Seven out of 8 subretinal membranes removed by retinotomy were successful,and 7out of 9 cases of complicated retinal detachment were releived by retinectomy of the stiff margins of retinal holes. CONCLUSIONS:Retinotomy and retinectmy were beneficial to improving th curative effect of complicated retinal detachment and subretinal opereation. （Chin J Ocul Fundus Dis,1996,12:3-6）

人工晶体植入后视网膜脱离

EVALUATION OF VITREOUS SURGERY FOR PROLIFERATIVE VITREORETINOPATHY GRADE D3

In this paper,the results of vitreous surgery in 25 cases of PVR D3 were analyzed.Pars plana vitrectomy and membrane peeling were performed in all eyes.The follow-up is more than 3 months.The anatomic successful rate was 68%.The authors suggest that vitrectomy combined with membrane peeling and intraocular tamponade was key for the treatment of PVR D3.Silicone oil tamponade may improve the patients'prognosis.The authors suggest that the etiologic factors may include the operative irritation,giant tear,trauma and vitreous hemorrhage.The time and the complications of the vitreous surgery were discussed. （Chin J Ocul Fundus Dis,1993,9:145-147）

后房型人工晶体眼视网膜脱离手术治疗初步观察

Wyburn-Mason综合征一例报告

报告Wyburn-Mason综合征一例,右眼底血管扭曲,走行异常,左眼底正常.眼底荧光血管造影；右眼眼底可见视网膜异常血管袢,血管袢处动、静脉同时充盈，血液流向不易确定，视网膜血管未见异常渗漏。结合本例患者的VEP、ERG及临床表现进行了讨论。 （中华眼底病杂志，1993，9：112-113）

药物和玻璃体手术治疗急性视网膜坏死17例

SURGICAL TREATMENT FOR RETINAL DETACHMENT WITH PROLIFERATIVE VITREORETINOPATHY

One hundred and eighty-nine cases of retinal detachment complicated with advanced proliferative vitreoretinopathy (grade C or D)were treated with scleral buckling or vitreous surgery,The reattachment rate was 63% ,ranging from 87.5% in grade C1 to 30.4% in grade D3.Retinas were reattached in 119,of which the postoperative visual acuity was counting finger or better in 95.8% and 20/200 or better in 26.9% in those cases,of grade C1 to C2 without proliferative vitreoretinopathy. The major causes of surgical failure were development of new or recurrent anterior PVR(51.4%),posterior epiretinal proliferation making pre-existing retinal breaks open and creation of new breaks (25.7%). Finally,we discussed the time of vitreoretinal surgery,methods of operation and the formation of anterior PVR. （Chin J Ocul Fundus Dis,1994,10:199-202）

单眼原发性视网膜色素变性4例报告

报告4例单眼原发性视网膜色素变性病例.视野、暗适应、眼底荧光血管造影及ERG电生理检查均提示单眼患病之特征。并对本病的诊断、鉴别诊断及发病原因作一简要讨论。 （中华眼底病杂志，1993，9：39-40）

视网膜电图检测对玻璃体手术眼视功能预测的评价

玻璃体切割手术前、术中、术后的ERG改变及各种有关眼部条件对ERG的作用，重点讨论了玻璃体积血、玻璃体切割手术中联合填充物对ERG的影响，并且对手术中的温度、所用灌注液对ERG的影响也作了详细的介绍．我们认为；术前ERG的检测对手术预后的估计有积极的作用。然而术前ERG熄灭的病人，在手术预后方面也必须认真对待． （中华眼底病杂志，1994，10：60-62）

特发性老年性黄斑裂孔的现代手术治疗

特发性老年性黄斑裂孔是严重危害老年人中心视力的疾病之一，主要发生在60岁年龄段屈光正常的老年妇女中。发病后视网膜神经感觉层不仅在裂孔区缺损，而且在裂孔边缘发生浅层脱离和水肿。目前主要采取玻璃体切割、剥离玻璃体后皮质及黄斑前膜、惰性气体充填或术中合并生物因子应用等显微手术治疗，以保持或提高中心视力。手术并发症包括进行性晶体核硬化、色素上皮损害、血管阻塞、视网膜裂孔、局部视野缺损等。对特发性黄斑裂孔的治疗不仅要求一定的技术条件，方法的选择还要权衡利弊。现就近几年对该病的治疗进展情况作一综述。