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Abstract：
Purpose:To describe the visual outcomes and problems that resulted from surgical treatment of nanophthalmic complete retinal detachment (RD) with retina-lens contact. Methods: A multicenter retrospective case series with deep sclerectomy as a treatment was performed. Results: Five cases had extensive deep sclerectomies, 3 with intended drainage of subretinal fluid (SRF). The RD resolved 1 week postoperatively in 4 cases and within 1 month in 1 case. The visual acuity improved from light perception to a median of 20/100. Three cases had longstanding lens touch beyond 1 year and improved VA to 20/100, 20/150, and hand motions, respectively. Complications included focal lens dialysis in 2 cases (passive drainage of SRF) and lens or intraocular lens dislocation in 1 case each (active drainage of SRF). Ultrasound biomicroscopy and anterior optical coherence tomography showed a very narrow angle and short zonules. Conclusions: Deep sclerectomy results in good anatomic and functional improvements in advanced cases of nanophthalmos exudative detachment, which is often considered to be incurable.
摘要：
目的：描述手术治疗视网膜-晶状体接触的纳米眼科完全视网膜脱离（RD）的视觉效果和问题。方法：进行了多中心回顾性病例系列，以深层巩膜切除术为治疗方法。结果：5例广泛的深部切除术，3，预期引流视网膜下液（SRF）。RD术后1周缓解4例，1例术后1个月内缓解。视敏度从光感知提高到20/100的中位数。三例长期接触超过1年，VA改善至20/100、20/150和手部运动，分别。并发症包括2例（SRF被动引流）和1例晶状体或人工晶状体脱位（SRF主动引流）。超声生物显微镜和前光学相干断层扫描显示出非常窄的角度和短的小带。结论：深层巩膜切除术在晚期的纳眼渗出性脱离病例中具有良好的解剖和功能改善，这通常被认为是无法治愈的。
