UNASSIGNED: A 59-year-old male presented with decreased visual acuity in his right eye for one week. Examination revealed extensive retinal detachment in the right eye with multiple superior breaks and macula off, separated by approximately 3 clock hours. The left eye exhibited one quartile of retinal detachment with superior breaks and macula on. Bilateral simultaneous PR was performed for retinal repair. In the modified PR procedure, 0.7 ml of low-concentration perfluoropropane and 0.7 ml of filtered pure air were intravitreally injected into the right and left eyes, respectively. A head position maneuver was then employed to sequentially close retinal breaks, followed by laser photocoagulation once the surrounding retina reattached. Two days after gas injection, both retinas were completely reattached. Best corrected visual acuity improved to 0.6 in the right eye and 0.9 in the left eye at the 8-month follow-up.
UNASSIGNED: The innovative modified pneumatic retinopexy technique presented in this case report offers a promising new approach for effectively treating simultaneous bilateral rhegmatogenous retinal detachment.
■一名59岁男性右眼视力下降一周。检查显示右眼广泛的视网膜脱离,伴有多个上破裂和黄斑脱落,相隔约3个小时。左眼表现出一个四分位数的视网膜脱离,并伴有上裂口和黄斑。同时进行双侧PR进行视网膜修复。在修改后的PR程序中,将0.7毫升低浓度全氟丙烷和0.7毫升过滤的纯空气玻璃体内注射到右眼和左眼中,分别。然后采用头部位置操纵来顺序关闭视网膜破裂,一旦周围的视网膜重新连接,然后进行激光光凝。注气两天后,两个视网膜完全重新连接。在8个月的随访中,右眼的最佳矫正视力提高到0.6,左眼的最佳矫正视力提高到0.9。
■本病例报告中提出的创新的改良的气动视网膜固定术技术为有效治疗同时发生的双侧孔源性视网膜脱离提供了一种有希望的新方法。