CAJ | 학술논문

目的探讨玻璃体手术治疗玻璃体黄斑牵引综合征的临床效果及光相干断层扫描、荧光素眼底造影对手术疗效的评价.方法经裂隙灯前置镜、间接眼底镜检查、B超、光相干断层扫描(OCT)、荧光素眼底血管造影(FFA)等检查确诊为玻璃体黄斑牵引综合征行玻璃体手术的患者30例(30只眼)的临床资料进行回顾性分析.结果 30只眼经手术解除玻璃体对黄斑部的牵引.术后20只眼视力提高.术后黄斑区牵引处OCT测量高度平均减小267μm,有明显改善.术前荧光素眼底血管造影检查存在黄斑囊样水肿伴渗漏,术后明显减轻.术前合并高度近视眼者视力预后不佳.结论玻璃体手术能够有效解除玻璃体对黄斑部的牵引,阻止患者视力进一步下降,减轻黄斑水肿及渗漏,是治疗玻璃体黄斑牵引综合征的有效方法.光相干断层扫描及荧光素眼底造影检查可以对手术疗效进行评价,有利于术后随访.
목적 탐토파리체수술치료파리체황반견인종합정적림상효과급광상간단층소묘、형광소안저조영대수술료효적평개.방법 경렬극등전치경、간접안저경검사、B초、광상간단층소묘(OCT)、형광소안저혈관조영(FFA)등검사학진위파리체황반견인종합정행파리체수술적환자30례(30지안)적림상자료진행회고성분석.결과 30지안경수술해제파리체대황반부적견인.술후20지안시력제고.술후황반구견인처OCT측량고도평균감소267μm,유명현개선.술전형광소안저혈관조영검사존재황반낭양수종반삼루,술후명현감경.술전합병고도근시안자시력예후불가.결론 파리체수술능구유효해제파리체대황반부적견인,조지환자시력진일보하강,감경황반수종급삼루,시치료파리체황반견인종합정적유효방법.광상간단층소묘급형광소안저조영검사가이대수술료효진행평개,유리우술후수방.
Objective To evaluate the efficacy of vitreous surgery for patients with vitreomacular traction syndrome. Methods Of 30 patients (30 eyes) who underwent vitrectomy for vitreomacular traction syndrome were retrospectively analyzed. Results Vitreomacular traction was released successfully, and a better visual acuity was obtained in 20 eyes. Mean macular thickness decreased by 267μ m postoperatively. The eyes showed statistically significant improvement in visual acuity and central macular thickness (P <0.05). Optical coherence tomography (OCT) and fluorescein fundus angiography (FFA) showed macular edema gradually alleviated after vitreous surgery. Preoperative high myopia was associated with prognosis of postoperative visual acuity (P<0.05). Conclusions Vitrectomy can relieve macular traction, and is effective for decreasing macular thickness and improvement of vision in vitreomacular traction syndrome. OCT and FFA are useful for evaluation and follow-up for vitreomacular traction syndrome.