CAJ | 학술논문

目的探讨23G微创玻切手术对Valsalva视网膜病变的临床效果.方法回顾性分析了2007年3月至2010年3月在眼科就诊的10例(10只眼)Valsalva视网膜病变病例,经过1月保守治疗无效后接受23G微创玻璃体切割手术联合内界膜剥除,分析术后的治疗效果.结果术后1周患者最佳矫正视力BCVA 0.3～0.5者7例,0.6～0.8者3例.最后一次随访时BCVA在0.6～0.8者9例,1.0者1例.除3例患者术后出现少量结膜下出血外未见其他并发症.结论 23G微创玻璃体切割手术联合ILM剥除对于保守治疗无效、范围较大的黄斑区ILM下积血为主要表现的Valsalva视网膜病变,是安全有效的.
목적 탐토23G미창파절수술대Valsalva시망막병변적림상효과.방법 회고성분석료2007년3월지2010년3월재안과취진적10례(10지안)Valsalva시망막병변병례,경과1월보수치료무효후접수23G미창파리체절할수술연합내계막박제,분석술후적치료효과.결과 술후1주환자최가교정시력BCVA 0.3～0.5자7례,0.6～0.8자3례.최후일차수방시BCVA재0.6～0.8자9례,1.0자1례.제3례환자술후출현소량결막하출혈외미견기타병발증.결론 23G미창파리체절할수술연합ILM박제대우보수치료무효、범위교대적황반구ILM하적혈위주요표현적Valsalva시망막병변,시안전유효적.
Objective To discuss the clinical effect of 23G vitrectomy in treating Valsalva retinopathy. Methods Ten cases of Valsalva retinopathy were analyzed retrospectively.Those cases were treated by 23G vitrectomy from March 2007 to March 2010 after conservative treatment was failed.The post-operative outcomes were analyzed. Results One week after the surgery,BCVA in 7 cases was improved to 0.3-0.5 and it was improved to 0.6-0.8 in 3 cases.In the last follow-up,BCVA was improved to 0.6-0.8 in 9 cases and 1.0 in one case.Except mild subconjunctival hemmorrhage occurred in 3 cases,no other complications were observed. Conclusions 23G vitrectomy combined with ILM peeling is safe and effective for Valsalva retinopathy with large scale of macular sub-ILM hemorrhage which failed to response to conservative treatment.