摘要目的 明确玻璃体切除术对涉及视盘的脉络膜缺损合并视网膜脱离预后的影响.方法 对2009年3月至2011年12月在陕西省眼科医疗中心就诊的涉及视盘的脉络膜缺损合并视网膜脱离9例,采用玻璃体视网膜手术,术中以二极管激光完全光凝脉络膜缺损边缘,术毕以硅油眼内填充；观察术后视力及视网膜复位率.结果 术后12个月,9例患者视网膜完全复位,其中3例术后视力由光感/或手动提高到指数.结论 采用玻璃体切除术,术中完全光凝脉络膜缺损边缘,治疗涉及视盘的脉络膜缺损合并的视网膜脱离,能够获得比较好地解剖成功率.

abstractsObjective To evaluate the anatomic and functional outcomes of retinal detachment with choroidal coloboma involved the disc.Methods Pars plana vitrectomy (PPV) was performed on 9 eyes of retinal detachment with choroidal coloboma involved the disc:the functional border of the disc by laser treatment intra-operatively.Anatomic reattachment of the retina and visual acuity were measured.Results The rate of retinal reattachment was high (100％) at 12 months after the surgery.The visual acuity improved from a preoperative perception of light or hand movement to counting fingers at the end of 12 months in 3 eyes.Conclusions PPV with laser treatment the functional border of the disc intra-operatively,provides an effective treatment for this complicated type of retinal detachment with good long term anatomical outcome.