浜哄伐鏅朵綋鐪艰缃戣啘鑴辩涓村簥鍒嗘瀽鐪肩 1999骞寸1鏈熺8鍗? 涓村簥鐮旂┒浣滆?咃細鏇俱??閿??銆?鍙ゆ吹娓??鍗曚綅锛氭繁鍦冲競鐪肩鍖婚櫌锛?518001鍏抽敭璇嶏細鏅朵綋锛涗汉宸ワ紱瑙嗙綉鑶滆劚绂伙紡鐥呭洜瀛︼紱鐜荤拑浣撳垏闄ゆ湳銆?銆?鎽樸??瑕併??鐩殑锛氳瀵熷垎鏋愪汉宸ユ櫠浣撶溂瑙嗙綉鑶滆劚绂讳笌鍘熷彂鎬у瓟婧愭?ц缃戣啘鑴辩鐨勪笉鍚岀偣銆傛柟娉?銆?銆?璇︾粏璁板綍15渚嬩汉宸ユ櫠浣撶溂瑙嗙綉鑶滆劚绂荤殑涓村簥琛ㄧ幇銆佹墜鏈墍瑙併?佹墜鏈晥鏋溿?傜粨鏋滐細15渚嬫偅鑰呰鎵嬫湳銆?銆?13渚嬶紝鍏朵腑宸╄啘鍔犲帇鏈?5渚嬶紝鐜荤拑浣撳垏闄よ仈鍚堝珐鑶滃姞鍘嬫湳8渚嬨??11渚嬫垚鍔熷浣嶏紝1渚嬪ソ杞?傜粨璁猴細銆?銆?浜哄伐鏅朵綋鐪艰缃戣啘鑴辩杈冧箣鍘熷彂鎬у瓟婧愭?ц缃戣啘鑴辩锛岃瘖鏂緝鍥伴毦锛屽彂鐥呭洜绱犲鍔狅紝璇卞彂澧炴畺鎬?銆?銆?鐜荤拑浣撹缃戣啘鐥呭彉鐨勫洜瀛愬澶氫笖姣斾緥杈?銆?銆?楂樸?傚珐鑶滅幆鎵庢湳鎴栫幓鐠冧綋鍒囬櫎鑱斿悎宸╄啘鍔犲帇鏈槸涓昏鎵嬫湳鏂规硶銆?銆?銆?鍒嗙被鍙枫??R774.13銆?銆?Clinical analysis of pseudophakic retinal detachment 锛廧eng Jian鈥︹垾Ophthalmol CHN.-1999锛?8锛?1锛?.-10锝?12锛圫hen Zhen Eye Hospital锛孲hen Zhen 518001锛?銆?銆?To analyze the differences between pseudophakic retinal detachment and rhegmatogenous retinal detachment in the clinical characteristics and treatment,some relative data including every patient?s clinical features锛宒iscoveries ofthevitreo-retina锛宎nd surgical results were recorded clearly.Operation was performed on13 cases.Scleral buckling was performed in 5 cases and vitrectomy-scleral buckling performedin8 cases.Reattachment occurred in 11 cases and improvement in 1 case.Compared withrhegmatogenous retinal detachment锛宼here were more difficulty in diagnosis锛宮ore pathogenical factors and higher incidence of proliferative vitreo-retinopathy in these persons with pseudophakic retinal detachment.The main surgery was scleral buckling or vitrectomy combined with scleral buckling.銆?銆?Subject terms Lenses锛宨ntraocular锛汻etinal detachment锛廵tiol锛沄itrectomy銆?銆?鐜颁唬鐧藉唴闅滄湳鍚庤鍔涘凡鍙栧緱浠や汉婊℃剰鐨勭粨鏋滐紝杩滄湡闅忚涓弗閲嶆崯瀹宠鍔涚殑瑙嗙綉鑶滆劚绂绘椂鏈夋墍瑙侊紝涓庡師鍙戞?у瓟婧愭?ц缃戣啘鑴辩鐩告瘮锛岃瘖鏂緝鍥伴毦锛屽彂鐥呭嵄闄╁洜绱犲澶氾紝鎵嬫湳闅惧害鍔犲ぇ銆傜幇灏?1994骞?8鏈堬綖1997骞?8鏈堥棿鏈櫌2銆?684渚嬬櫧鍐呴殰鍥婂鎽樺嚭浜哄伐鏅朵綋妞嶅叆鏈悗鍙戠敓瑙嗙綉鑶滆劚绂荤殑15渚嬬梾渚嬫不鐤楁儏鍐垫姤鍛婂涓嬨??銆?銆?1銆?涓村簥璧勬枡銆?銆?1.1銆?涓?鑸儏鍐?銆?15渚嬶紙15鍙溂锛夛紝鐢?11渚嬶紙11鍙溂锛夛紝濂?4渚嬶紙4鍙溂锛夈?傛帓闄ょ櫧鍐呴殰鎵嬫湳鏃舵湁瑙嗙綉鑶滆劚绂荤梾渚嬨?傝?佸勾鎬х櫧鍐呴殰鑰?10渚嬶紙10鍙溂锛夛紝骞冲潎骞撮緞61.4宀侊紙绠?绉拌?佸勾缁勶級銆傚浼ゆ?х櫧鍐呴殰鑰?5渚嬶紙5鍙溂锛夛紝骞冲潎骞撮緞20.8宀侊紙绠?绉板浼ょ粍锛夈?傚悗鎴垮瀷浜哄伐鏅朵綋妞嶅叆鈪犳湡鑰?14鍙溂锛屸叀鏈熻??1鍙溂銆傝?佸勾缁勭櫧鍐呴殰鏈腑鍚庡泭鑶滅牬瑁傚強鐜荤拑浣撹劚鍏ュ墠鎴?4鍙溂锛屽墠鎴垮嚭琛?1鍙溂锛屽墠鎴垮拰鐜荤拑浣撳嚭琛?1鍙溂銆傚浼ょ粍閮ㄥ垎鐪兼湁2绉嶄互涓婁激鎯咃紝璁℃櫠浣撳墠鍚庡泭鑶滅牬瑁?3鍙溂锛岃櫣鑶滆劚鍑?2鍙溂锛岀幓鐠冧綋鑴卞嚭2鍙溂锛岀幓鐠冧綋绉2鍙溂锛岀溂鍐呭紓鐗?2鍙溂銆?銆?銆?杩戣鍙?5渚嬨?傛湭鏂借杩嘫AG婵?鍏夊悗鍥婅啘鍒囧紑鏈??銆?銆?鐧藉唴闅滄湳鍚庤窛鍙戠敓瑙嗙綉鑶滆劚绂荤棁鐘剁殑鏃堕棿锛岃?佸勾缁?0.5锝?35涓湀锛屽钩鍧?12.1涓湀锛涘浼ょ粍0.5锝?14涓湀锛屽钩鍧?5.5涓湀銆傚彂鐢熻缃戣啘鑴辩鐥囩姸鑷冲氨璇婃椂闂?2锝?91鏃ワ紝骞冲潎26.1鏃ャ??銆?銆?瑙嗙綉鑶滆劚绂绘湳鍓嶇溂鍘嬧墹0.95kPa銆?11鍙溂锛屸墺1.35kPa銆?4鍙溂銆?銆?銆?1.2銆?鐪煎簳鎯呭喌銆?鏈墠鏌ヨ瑁傚瓟13鍙溂锛屾湳涓壘鍒拌瀛?1鍙溂锛屾湭鍙戠幇瑁傚瓟1鍙溂銆?銆?銆?澧炴畺鎬х幓鐠冧綋瑙嗙綉鑶滅梾鍙橈紙PVR锛夛紝鍓嶉儴鑰??娣卞湷甯傜溂绉戝尰闄紝518001锛坅-PVR锛?2鍙溂锛岃浜庡浼ょ粍锛涘悗閮ㄨ?咃紙p-PVRC1-D3锛夊浼ょ粍3鍙溂锛岃?佸勾缁?4鍙溂銆傚法澶ц瀛斿悗鍞囩摚缈昏浆1鍙溂銆傞粍鏂戝尯瑙嗙綉鑶滆劚绂?14鍙溂銆傚渚х溂鍙戠幇骞叉?ц瀛?2渚嬭浜庤?佸勾缁勩??銆?銆?1.3銆?鎵嬫湳鏂规硶銆?宸╄啘灞?閮ㄥ姞鍘嬫湳2鍙溂锛屽珐鑶滅幆鎵庢湳3鍙溂銆?銆?銆?鐜荤拑浣撳垏闄ゃ?佺溂鍐呭～鍏呰仈鍚堝珐鑶滅幆鎵庢湳8鍙溂銆傚叾涓皵锛忔恫浜ゆ崲5鍙溂锛岀娌圭溂鍐呭～鍏?3鍙溂锛屾湳鍚庤ˉ鍏呮癌婵?鍏夊厜鍑濇湳2鍙溂銆?1渚嬮珮搴﹁繎瑙嗐?侀粍鏂戣瀛旀?ц缃戣啘鑴辩锛岀幓鐠冧綋鍒囬櫎銆佹皵锛忔恫浜ゆ崲鍙婅拷鍔犳癌婵?鍏夊厜鍑濇湳锛?3涓湀鍚庡鍙戝啀琛岀娌圭溂鍐呭～鍏咃紝闅忚2骞村浣嶆垚鍔燂紝瑙嗗姏0.06锛岃鍏ョ娌圭溂鍐呭～鍏呯溂鏁般?傛湭鎵嬫湳2鍙溂銆?銆?銆?2銆?缁撴灉銆?銆?鎵嬫湳13鍙溂锛岃缃戣啘澶嶄綅11鍙溂锛屽ソ杞?1鍙溂锛屾湭澶嶄綅1鍙溂銆傛湳鍚庝綆鐪煎帇2鍙溂涓虹娌瑰～鍏呯溂銆?銆?銆?闅忚鏃堕棿涓?3锝?32涓湀锛屽钩鍧?10.3涓湀銆傞殢璁跨粓浜嗘椂瑙嗙綉鑶滃浣?10鍙溂锛屽ソ杞?2鍙溂銆傚ぇ閮ㄥ垎鐪兼仮澶嶄簡鐧藉唴闅滄湳鍚庣殑瑙嗗姏锛岃闄勮〃銆?闄勮〃銆?瑙嗗姏鎯呭喌锛堢溂鏁帮級瑙嗗姏锛?0.05鈮?0.050.1锝?0.3鈮?0.04鐧藉唴闅滄湳鍚? 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