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題名:PNEUMATIC RETINOPEXY FOR RHEGMATOGENOUS RETINAL DETACHMENT     (10點)
裂孔性視網膜剝離之氣體充填視網膜固定手術治療
著者:Ching-Yao Tsai(蔡景耀) ;Ting-Jia Chang(張庭嘉) ;Pesus Chou(周碧瑟) ;Shiow-Wen Liou(劉秀雯)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:pneumatic retinopexy ; rhegmatogenous retinal detachment ; scleral buckling surgery
刊名:中華民國眼科醫學會雜誌
卷期:46卷1期(2007.3)
頁碼:8-12
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

目的:本篇研究之目的,為探討對於初發性裂孔 性視網膜剝離(primary rhegmatogenous retinal detachme 肘, RRD) 之患者以氣體充填視網膜固定術 (pneumatic retinope呵, PR) 為首選治療之術後結果, 並評估其復發視網膜剝離之頻率。 設計:以區域級教學醫院為基礎之回顧性、無配 對比較型病例系列研究。 方法:我們收集之所有患眼皆為上部裂孔,性視網 膜剝離,其侵犯的區間坐落介於八點鐘至四點鍾方位 之間,且範圍延伸未超過兩個鐘點。若為長期剝離狀 態、有增殖性玻璃體視網膜病變之跡證、裂孔位於眼 底下方、或是術後無法配合俯臥姿之病患,我們皆將 其排除於收集範圍之內。單一于術成功定義為於施行 完畢氣體充填視網膜固定術之後視網膜即回貼;而最 終治療成功之定義則為單一手術成功或是氣體充填視網膜固定術合併其他手術步驟之後視網膜成功回 貼。 結果:於2003 年一月至2005 年八月總共有5 隻上部裂孔性視網膜剝離之患眼接受氣體充填視網 膜固定術並收集進本研究中(占8 .3%) ,其中包括兩 位女性(40%)與三位男性(60%) 。平均年齡為44.2土 18.1 歲。每一隻患眼皆已接受六個月以上之追蹤,平 均為90.2士39.0 周。單一手術成功率為60% '而在 追蹤觀察之後,其最終治療成功率為100% 。在追蹤 過程中我們並未發現到有任何不良影響或是產生主 要併發症。 結論:本研究發現,若能謹慎選取合適的病患, 氣體充填視網膜固定術為治療上部裂孔性視網膜剝 離之安全有效的方法。
Purpose: The purpose of this study is to describe the surgical outcomes of treating primary rhegmatogenous retinal detachment (RRD) with pneumatic retinopexy as treatment of choice, and to assess frequency of postoperative redetachment. Setting: We conducted a hospital-based retrospective, noncomparative case series study at the Department of Ophthalmology, Zhongxing Branch, Taipei City Hospital, Taiwan. Methods: We included all cases of RRD in which breaks were superior (between clock hours 8 and 4), and not exceeding 2 clock hours in extent. Longstanding RRD, evidence of proliferative vitreoretinopathy (PVR) or inferior breaks, and cases unable to keep appropriate postoperative posture were excluded. Single-operation success was defined as successful retinal attachment following the first a甘empt at pneumatic retinopexy (PR). Final success was defined as successful attachment, either after single-operation success or after an additional operation. Results: Of 60 cases of retinal detachment, 5 cases (8.3%) of superior RRD undergoing PR were enrolled between January 2003 and August 2005. Two subjects were female (40%) and 3 were male (60%). The mean age was 44.2士18.1 yea陷. Every case was followed up for 6 months or more. The mean follow-up interval was 90.2 39.0 weeks. The single-operation success rate was 60%, and the final success rate was 100% during our follow up. There were no adverse effects or major postoperative complications noted throughout our follow-up period. Conclusions: In our study, pneumatic retinopexy was found to be a useful and safe procedure for superior rhegmatogenous retinal detachment surgery in carefully selected cases.


    

本卷期目次
中華民國眼科醫學會雜誌 46卷1期 (2007.3)
CLINICAL OUTCOMES OF WAVEFRONT-GUIDED LASER IN SITU KERATOMILEUSIS WITH DIFFERENT MICROKERATOME HEADS FOR THE HIGH MYOPIA--A PRELIMINARY STUDY/ Hui-Chen LinHung-Yu LinWei-hsin LinChin-jung Yeh
2004年台灣地區眼科門診執業內容分析/ 柳逸嫻林宜璁陳曾基周麗芳黃信彰許紋銘
糖尿病視網膜病變和心率變異性之相關研究/ 郭博昭蔡景耀劉秀雯周碧瑟張寅郭麗琳黃麗珊
高度近視患者白內障手術視力預後與相關危險因子之探討/ 張庭嘉郭麗琳劉秀雯翁林仲周碧瑟蔡景耀
LACRIMAL SAC TUMOR--REPORT OF TWO CASES/ Jyun-Ci WangShih-Huag HuangJen-Peng WangYen-Liang ChangSzu-Yuan LinShun-Ling Lin
NASOPHARYNGEAL CARCINOMA WITH INITIAL PRESENTATION OF ISOLATED COMPRESSIVE OPTIC NEUROPATHY--A CASE REPORT/ Pei-Chen ChangMay-Yung YenYen-Ching LinAn-Guor Wang
OCULAR THELAZIASIS MANIFESTED AS CONJUNCTIVITIS--A CASE REPORT/ Pei-Jen ChenShih-Chen ChenShu-Wen Chang
TOPICAL CYCLOSPORINE A 0.05% IN THE TREATMENT OF SUPERIOR LIMBIC KERATOCONJUNCTIVITIS/ Sheng-Fu ChengChi-Hsien PengCheng-Kuo Cheng
BILATERAL VITREOUS HEMORRHAGE: AN UNUSUAL PRESENTATION OF PRESUMED OCULAR SARCOIDOSIS--CASE REPORT/ Chia-Shian LinShwu-Jiuan Sheu
ORBITAL APEX SYNDROME AND CENTRAL RETINAL ARTERY OCCLUSION CAUSED BY MUCORMYCOSIS--CASE REPORT/ Yu-Lun LoChao-Chien Hu
INTRAOPERATIVE CAPSULAR BLOCK SYNDROME: A CASE REPORT/ Jia-Kang Wang
MUCOEPIDERMOID CARCINOMA OF THE LACRIMAL GLAND: A CASE REPORT AND LITERATURE REVIEW/ I-hua WangGing-Shan HuangShin-Hung HuangSzu-Yuan LinShun-Ling Lin
MANAGEMENT OF AN ANTERIORLY DISLOCATED CRYSTALLINE LENS AND ACUTE SECONDARY ANGLE-CLOSURE GLAUCOMA BY ENDOCAPSULAR PHACOEMULSIFICATION IN THE ANTERIOR CHAMBER AND IRIS-FIXATED INTRAOCULAR LENS IMPLANTATION: A CASE REPORT/ Andy Y LoJia-Kang WangPei-Jen ChenChao-Yu Hu
PNEUMATIC RETINOPEXY FOR RHEGMATOGENOUS RETINAL DETACHMENT/ Ching-Yao TsaiTing-Jia ChangPesus ChouShiow-Wen Liou
SUPRACHOROIDAL HEMORRHAGE--A CASE REPORT/ Chia-Min TsaiTai-Yuen Wang
PRIMARY LYMPHOMA OF THE LACRIMAL SAC--A CASE REPORT/ Hsin-Hui WangShu-Ching KaoChieh-Chih TsaiShyh-Haw TsayWen-Ming Hsu
角膜移植手術中併發膨出性上脈絡膜出血--病例報告/ 劉美麟陳俊寰魏福宗陳伯卿林主國蔡武甫
 
   
 
   

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