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目的观察玻璃体腔注气(C3F8)联合巩膜外引流视网膜下液治疗高度近视黄斑裂孔性视网膜脱离的疗效。方法采用玻璃体腔注气(C3F8)联合巩膜外引流视网膜下液治疗高度近视黄斑裂孔性视网膜脱离患者32例32眼,观察术后视网膜复位、术后视力及并发症发生情况。结果32例32眼中26例26眼(81.25%)治愈;2例2眼(6.25%)好转;4例4眼(12.5%)未愈。在治愈的26例26眼中,视力提高21例21眼(80.77%),视力不变者5例5眼(19.23%),其中2例发生高眼压,通过降眼压处理恢复正常,未发生其他并发症。结论玻璃体腔注气(C3F8)联合巩膜外引流视网膜下液治疗高度近视黄斑裂孔性视网膜脱离,具有安全、有效、操作简单等特点,可作为高度近视黄斑裂孔性视网膜脱离患者的首选治疗方法。
Objective To observe the efficacy of vitreous cavity insufflation (C3F8) combined with scleral drainage of subretinal fluid for the treatment of retinal detachment due to macular hole with high myopia. Methods 32 patients (32 eyes) with high myopic macular hole retinal detachment were treated with vitreous cavity insufflation (C3F8) combined with scleral drainage of subretinal fluid. The postoperative retinal reattachment, postoperative visual acuity and complications were observed. Results Of the 32 cases, 26 cases (81.25%) were cured in 32 eyes; 2 cases (6.25%) were cured in 2 eyes; 4 cases (4%) were cured. In 26 cases of 26 cases cured, 21 eyes (80.77%) were improved in 21 eyes, 5 eyes (19.23%) were unchanged in 5 eyes, and 2 cases developed high intraocular pressure (IOP). Other complications. Conclusion The combination of vitreous cavity insufflation (C3F8) combined with scleral drainage of subretinal fluid in the treatment of high myopia macular hole retinal detachment is safe, effective and easy to operate. It can be used as the first choice for patients with macular hole retinal detachment.