CAJ | 학술논문

目的探讨扩大的内界膜剥离手术治疗高度近视伴后葡萄肿的黄斑白孔性视网膜脱离的效果.方法在玻璃体切除手术中采用扩大的内界膜剥离手术(即剥离范围达到后葡萄肿边缘)治疗30只眼高度近视伴后葡萄肿的黄斑白孔性视网膜脱离的患者,其中12只眼(40%)注C3F8,18只眼(60%)注硅油.结果 27只眼(90%)视网膜复位,3只眼(10%)经再次手术后复位(P<0.05);视力改善16只眼(53.4%),不变10只眼(33.3%),下降4只眼(13.3%)(P>0.05).结论扩大的内界膜剥离手术可有效复位高度近视伴后葡萄肿的黄斑白孔性视网膜脱离,但视力提高无显著性差异.
목적 탐토확대적내계막박리수술치료고도근시반후포도종적황반백공성시망막탈리적효과.방법 재파리체절제수술중채용확대적내계막박리수술(즉박리범위체도후포도종변연)치료30지안고도근시반후포도종적황반백공성시망막탈리적환자,기중12지안(40%)주C3F8,18지안(60%)주규유.결과 27지안(90%)시망막복위,3지안(10%)경재차수술후복위(P<0.05);시력개선16지안(53.4%),불변10지안(33.3%),하강4지안(13.3%)(P>0.05).결론 확대적내계막박리수술가유효복위고도근시반후포도종적황반백공성시망막탈리,단시력제고무현저성차이.
Obiective To evaluate the clinical effects of vitrectomy with largly internal limiting membrane peeling to treat primary retinal detachment due to white macular hole in highly myopic eyes with posterior scleral staphyloma. Methods Thirty highly myopic eyes with posterior scleral staphyloma with primary retinal detachment caused by white macular hole were conducted vitrectomy. During surgery, internal limiting membrane was peeled largely from macular hole to the edge of posterior scleral staphyloma and C3F8 or silicone oil was injected intravitreously in 12 (40%)and 18 (60%)eyes, respectively. Results The retinawas reattached in 27 eyes(90%)after the first operation in 3 eyes (10%)after the reoperation (P<0.05). Visual acuity improved in 16 eyes(53.4%), remained unchanged in 10 eyes (33.3%), and decreased in 4 (13.3%)after operation(P>0.05). Conclusions Vitrectomy with largely intemal limiting membrane peeling can effectively reattach the retina due to white macular hole in highly myopic eyes with posterior scleral staphyloma without improving the visual acuity significantly.