微创玻璃体手术并发症不容忽视

摘要

经平坦部玻璃体切除术是目前治疗复杂性玻璃体视网膜疾病的重要手段,而微创玻璃体手术更是玻璃体切除手术技术发展过程中的重要里程碑.尽管微创玻璃体手术具有许多优势,但眼科医师必须认识到微创玻璃体手术并不是微切口玻璃体手术,不能仅仅追求缩小切口而忽略玻璃体手术的精髓,不重视适应证的合理选择,低估手术风险和手术并发症.术者必须对手术并发症及其处理原则了然于心,才能以微小的手术创伤,为患者带来最好的治疗效果.%Pars plana vitrectomy (PPV) has become an important means of treating complex vitreoretinopathy, and the introduction of small-gauge PPV instrumentation and techniques has even considerably widened the surgery choice. Though the small-gauge PPV systems have many advantages, ophthalmologists must realize that the small-gauge PPV does not necessarily refer to minimally invasive PPV. Ophthalmologists should not just pursue the small incision, ignore the principle of minimally invasive PPV and the rational choice of indications, and underestimate surgical risks and postoperative complications. Ophthalmologists must be familiar with the advantages and limitations of minimally invasive PPV so as to achieve the best therapeutic effects with minimized trauma.