中华眼底病杂志
中華眼底病雜誌
중화안저병잡지
CHINESE JOURNAL OF OCULAR FUNDUS DISEASES
2009年
6期
429-532
,共104页
孙光丽%黄时洲%吕林%江福钿%吴德正
孫光麗%黃時洲%呂林%江福鈿%吳德正
손광려%황시주%려림%강복전%오덕정
视网膜电描记术/利用%视网膜穿孔/外科学%视力%矫正
視網膜電描記術/利用%視網膜穿孔/外科學%視力%矯正
시망막전묘기술/이용%시망막천공/외과학%시력%교정
Electroretinography/utilization%Retinal perforations/surgery%Vison%corrective
目的 观察特发性黄斑裂孔(IMH)玻璃体切割手术(PPV)联合吲哚青绿(ICG)辅助内界膜剥除治疗前后的矫正视力及多焦视网膜电图(mfERG)的改变.方法 回顾分析我科接受PPV联合0.25%ICG辅助内界膜剥除治疗的特发性黄斑裂孔患者19例19只眼的临床资料.所有患眼手术前裂孔情况和手术后2个月裂孔闭合情况均以OCT检查为依据.采用VERIS Science 4.9视觉诱发反应图像系统观察手术前及手术后2、6、12个月患者mfERG6个环形视网膜区域mfERG的P1波振幅密度,同时分析比较手术前后最佳矫正视力的改变情况.结果 手术后2个月,OCT检查显示16例16只眼黄斑裂孔闭合,占84.21%;3例3只眼黄斑裂孔未闭合,占15.79%.手术后最佳矫正视力较手术前提高,其中以手术后2个月提高幅度最大(F=6.389,P=0.045).手术后2、6、12个月mfERG各环P1波振幅较手术前均明显降低,其差异均有统计学意义(t=6.140,P<0.05).结论 IMH患者手术后最佳矫正视力提高;手术后P1波振幅较手术前降低.
目的 觀察特髮性黃斑裂孔(IMH)玻璃體切割手術(PPV)聯閤吲哚青綠(ICG)輔助內界膜剝除治療前後的矯正視力及多焦視網膜電圖(mfERG)的改變.方法 迴顧分析我科接受PPV聯閤0.25%ICG輔助內界膜剝除治療的特髮性黃斑裂孔患者19例19隻眼的臨床資料.所有患眼手術前裂孔情況和手術後2箇月裂孔閉閤情況均以OCT檢查為依據.採用VERIS Science 4.9視覺誘髮反應圖像繫統觀察手術前及手術後2、6、12箇月患者mfERG6箇環形視網膜區域mfERG的P1波振幅密度,同時分析比較手術前後最佳矯正視力的改變情況.結果 手術後2箇月,OCT檢查顯示16例16隻眼黃斑裂孔閉閤,佔84.21%;3例3隻眼黃斑裂孔未閉閤,佔15.79%.手術後最佳矯正視力較手術前提高,其中以手術後2箇月提高幅度最大(F=6.389,P=0.045).手術後2、6、12箇月mfERG各環P1波振幅較手術前均明顯降低,其差異均有統計學意義(t=6.140,P<0.05).結論 IMH患者手術後最佳矯正視力提高;手術後P1波振幅較手術前降低.
목적 관찰특발성황반렬공(IMH)파리체절할수술(PPV)연합신타청록(ICG)보조내계막박제치료전후적교정시력급다초시망막전도(mfERG)적개변.방법 회고분석아과접수PPV연합0.25%ICG보조내계막박제치료적특발성황반렬공환자19례19지안적림상자료.소유환안수술전렬공정황화수술후2개월렬공폐합정황균이OCT검사위의거.채용VERIS Science 4.9시각유발반응도상계통관찰수술전급수술후2、6、12개월환자mfERG6개배형시망막구역mfERG적P1파진폭밀도,동시분석비교수술전후최가교정시력적개변정황.결과 수술후2개월,OCT검사현시16례16지안황반렬공폐합,점84.21%;3례3지안황반렬공미폐합,점15.79%.수술후최가교정시력교수술전제고,기중이수술후2개월제고폭도최대(F=6.389,P=0.045).수술후2、6、12개월mfERG각배P1파진폭교수술전균명현강저,기차이균유통계학의의(t=6.140,P<0.05).결론 IMH환자수술후최가교정시력제고;수술후P1파진폭교수술전강저.
Objective To observe the changes of visual acuity and multifocal electroretinogram (mfERG)before and after pars plana vitrectomy (PPV) combined with internal limiting membrane(ILM)peeling with ICG on idiopathic macular hole surgery.Methods The clinical data of 19 patients (19 eyes)with idiopathic macular hole(IMH) who had undergone PPV combined with ILM peeling assisted by 0.25 %ICG from Zhongshan Ophthalmic Center were retrospectively analyzed.The closure of macular holes was confirmed by OCT two months after surgery.VERIS Science 4.9 visual evoked response image system was used to record the amplitude density of P1 waves according to six concentric rings before and two,six,twelve months after surgery,meanwhile compared and analyzed best corrected visual acuity(BCVA)before and after surgery.Results The results of OCT showed that 16 eyes (84.21%) had anatomic closure of the macular hole two months after the surgery while three eyes (15.79%) failed in the closure.The BCVA after surgery improved significantly which was more obvious at the second month (F=6.389,P<0.05).Compared with before surgery,the responses were depressed severely in P1 wave amplitude densities in six rings,the differences were statistically significant (t=6.140,P<0.05).Conclusion The postoperative BCVA of IMH patients improved but the amplitude densities of P1 wave depressed compared with before surgery.