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Endoscope-assisted vitrectomy in the management of pseudophakic and aphakic retinal detachments with undetected retinal breaks.

机译:内镜辅助玻璃体切割术治疗假晶状体和无晶状体视网膜脱离并伴有未发现的视网膜断裂。

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摘要

PURPOSE: : To demonstrate the efficacy of endoscope-assisted pars plana vitrectomy in treating patients with retinal detachments with no retinal breaks detected preoperatively. METHODS: : Medical records of 20 consecutive eyes with pseudophakic and aphakic rhegmatogenous retinal detachments but without retinal breaks detected preoperatively were reviewed. In each case, endoscope-assisted pars plana vitrectomy was performed. RESULTS: : In 19 of 20 eyes, breaks were identified with the help of an endoscope during surgery. To treat breaks, transscleral cryopexy or endolaser was performed under the endoscopic vision. The retina was reattached after a single surgery in all cases. No serious complication related to the operation was experienced. CONCLUSION: : Endoscope-assisted vitrectomy is useful in the management of pseudophakic and aphakic retinal detachments with undetected retinal breaks preoperatively.
机译:目的::证明内窥镜辅助的平板式玻璃体玻璃体切除术在术前未检测到视网膜裂孔的视网膜脱离患者中的治疗效果。方法:回顾性分析了20眼连续的假眼和无晶状体眼源性视网膜脱离但术前未发现视网膜裂孔的病历。在每种情况下,均进行内窥镜辅助的pars平板玻璃体切除术。结果::在20眼中的19眼中,在手术过程中借助内窥镜发现了断裂。为了治疗断裂,在内窥镜下进行了巩膜冷冻术或内激光治疗。在所有情况下,一次手术后都将视网膜重新连接。没有发生与手术相关的严重并发症。结论:内窥镜辅助玻璃体切除术可用于术前未发现视网膜裂孔的假晶状体和无晶状体视网膜脱离的处理。

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