硝子体手術を必要とした初回強膜内陥術後の網膜剝離再発例

Cases of retinal redetachment following scleral buckling requiring vitreous surgery

要約　裂孔原性網膜剝離に対して強膜内陥術を行っても復位が得られず，硝子体手術を必要とした24例24眼の臨床像を検索した。裂孔不明，硝子体出血の合併，深部裂孔のある胞状網膜剝離，後部硝子体剝離のある白内障の合併などの6眼（25％）では，初回手術としての硝子体手術を積極的に行うべきであった。無水晶体眼，眼内レンズ挿入眼，中等度以上の白内障，巨大裂孔，深さが異なる複数の裂孔など9眼を加えた15眼（63％）が，硝子体手術の適応と判断された。

Abstract.　We reviewed 24 eyes in 24 cases of rhegmatogenous retinal detachment. These eyes failed to respond to conventional scleral buckling and necessitated additional vitreous surgery. In retrospect,6 eyes（25％）ought to have received vitreous surgery as the first procedure. These eyes had either undetectable retinal tear,vitreous hemorrhage,bullous detachment with posteriorly located tear,or cataract with posterior vitreous detachment. Additional 9 eyes appeared to be indicated for vitreous surgery,including aphakia,pseudophakia,moderate cataract,giant retinal tear,and multiple tears located in different depths. A total of 15 eyes（63％）were thus judged as indications of primary vitreous surgery.