巩膜扣带术对屈光状态的影响
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  • 英文篇名:The effect of scleral buckling on refractive status
  • 作者:刘楠 ; 王爽 ; 赵彭彭 ; 刘杨 ; 赵劲松
  • 英文作者:Liu Nan;Wang Shuang;Zhao Pengpeng;Liu Yang;Zhao Jinsong;Department of Ophthalmology,the Second Hospital of Jilin University;
  • 关键词:视网膜脱离 ; 环扎 ; 外加压 ; 屈光
  • 英文关键词:Retinal detachment;;Encircling;;Segmental buckling;;Refraction
  • 中文刊名:XYXX
  • 英文刊名:Journal of New Medicine
  • 机构:吉林大学第二医院眼科;
  • 出版日期:2017-10-15
  • 出版单位:新医学
  • 年:2017
  • 期:v.48
  • 基金:吉林省科技发展计划项目(20160101094JC);; 吉林省卫生计生委2016年卫生服务能力提升项目(3D5172173429)
  • 语种:中文;
  • 页:XYXX201710002
  • 页数:5
  • CN:10
  • ISSN:44-1211/R
  • 分类号:13-17
摘要
视网膜脱离是一种常见的致盲性眼病,以原发性孔源性视网膜脱离最为常见,通常需要手术治疗,手术包括巩膜扣带术和玻璃体切除手术两种方式,虽然玻璃体手术日渐成为一种趋势,但目前巩膜扣带术在临床仍然应用广泛,尤其对于单纯孔源性视网膜脱离,巩膜扣带术仍可作为首选。巩膜扣带术包括巩膜外加压术、巩膜环扎术以及巩膜环扎联合外加压术等术式,巩膜扣带术具有操作简单、创伤小、比较经济等优点,但常常引起术后屈光状态的变化,如眼轴延长、前房变浅、晶状体增厚均可引起近视,眼轴缩短可导致远视,角膜形态变化引起散光。该文对巩膜扣带术后的屈光改变以及原因进行综述。
        Retinal detachment is a common eye disease that leads to blindness. Primary rhegmatogenous retinal detachment is the most common form of retinal detachment. Surgical approaches including scleral buckling surgery and vitrectomy are frequently employed. Although vitrectomy is becoming widespread,scleral buckling surgery is still widely performed in clinical settings,which is the primary treatment of rhegmatogenous retinal detachment. Scleral buckling surgery consists of segmental scleral buckling surgery,scleral encircling surgery and scleral encircling combined with segmental buckling surgery. Scleral buckling surgery is economical and convenient to operate,and induces small trauma. However,it constantly leads to postoperative changes of the refraction,axial extension,shallow anterior chamber and thickening of the lens,which can cause myopia.Axial shortening may lead to hyperopia. Astigmatism is mainly caused by corneal morphological changes. In this article,the incidence and cause of refractive changes after scleral buckling surgery were summarized.
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