简介
PVR手术难度相当大,其原因复杂多样,包括对抗视网膜脱离的膜剥除反牵拉力减小、创建额外视网膜孔的风险、出血、或可引发新PVR的炎症以及极有可能需在术后保持俯卧位以保持视网膜附着。PVR可能表现为突出的白色纤维化组织,包裹近邻的视网膜组织,形成典型“折纸星星”样。PVR还可能表现为薄片样,无明显变形。PVR剥除不完整可能会妨碍视网膜附着或导致硅油填充取出后RD复发。因此,应尽可能完整剥除PVR,最大程度增加视网膜永久附着的可能性。
Robert Sisk, MD is Associate Professor of Ophthalmology at the University of Cincinnati. He is a Vitreoretinal Surgeon and partner at Cincinnati Eye Institute and serves as Director of Pediatric Retinal Surgery and Director of Ophthalmic Genetics at Cincinnati Children’s Hospital. He completed a Vitreoretinal fellowship at Bascom Palmer Eye Institute after his Ophthalmology residency at University of Cincinnati. He is a principal investigator for numerous clinical trials with interests in gene and cell therapy, macular degeneration, and diabetic retinopathy.