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目的探讨曲安奈德(TA)在玻璃体切除手术中的应用。方法采用标准巩膜三通道切口的玻璃体切除手术,术中应用TA对残存的玻璃体皮质进行染色,并将其彻底切除。结果 TA能使透明的玻璃体清晰显示,可彻底切除残存的玻璃体。46例患者手术后视力均较手术前不同程度提高,全部病例未见视网膜毒性反应及严重并发症,手术时间明显缩短。结论玻璃体切除手术中应用TA有助于辨别残留的玻璃体皮质,缩短手术时间,提高手术的成功率和安全性。
Objective To investigate the application of triamcinolone acetonide (TA) in vitrectomy. Methods A standard scleral three-incision vitrectomy was performed. TA was used to stain the remaining vitreous cortex during operation, and the resection was completely performed. Results TA can make clear the vitreous body shows clearly, can completely resect the remaining vitreous body. 46 cases of patients with visual acuity after operation were improved to varying degrees in all cases, no retinal toxicity and serious complications in all cases, the operation time was significantly shorter. Conclusion The application of TA in vitrectomy can help to distinguish the residual vitreous cortex, shorten the operation time and improve the success rate and safety of operation.