CAJ | 학술논문

目的评价在非接触式全视野镜下进行玻璃体手术治疗严重增生性糖尿病视网膜病变的疗效.方法回顾44例(57只眼)严重增生性糖尿病视网膜病变在非接触式全视野镜下完成玻璃体手术的临床资料.结果术后随访了12～90月,平均58月,51只眼(90%)视网膜完全在位,36只眼(63%)视力不同程度提高,29只眼视力>0.1.V期病变的23只眼中18只眼(78%)和Ⅵ期病变的34只眼中18只眼(52%)视力提高,两者差异有显著性意义(χ~2=-3.881>3.384,P<0.05 ).结论在非接触式全视野镜下对严重增生性糖尿病视网膜病变进行玻璃体手术可有效控制糖尿病视网膜病变的发展.手术预后与眼底病变程度成正相关.因此,对于糖尿病视网膜病变应强调早发现、早治疗.
목적 평개재비접촉식전시야경하진행파리체수술치료엄중증생성당뇨병시망막병변적료효.방법 회고44례(57지안)엄중증생성당뇨병시망막병변재비접촉식전시야경하완성파리체수술적림상자료.결과 술후수방료12～90월,평균58월,51지안(90%)시망막완전재위,36지안(63%)시력불동정도제고,29지안시력>0.1.V기병변적23지안중18지안(78%)화Ⅵ기병변적34지안중18지안(52%)시력제고,량자차이유현저성의의(χ~2=-3.881>3.384,P<0.05 ).결론 재비접촉식전시야경하대엄중증생성당뇨병시망막병변진행파리체수술가유효공제당뇨병시망막병변적발전.수술예후여안저병변정도성정상관.인차,대우당뇨병시망막병변응강조조발현、조치료.
Objective To evaluate the clinical efficacy of vitrectomy with noncontact panoramic viewing systems for severe proliferative diabetic retinopathy (PDR).Methods Fifty-seven eyes in 44 cases with severe PDR underwent vitrectomy using the noncontact panoramic viewing systems.Results The fol- low-up ranged from 12 to 90 months.Retina was attached in 51 eyes (90%).Vision was improved in 18 of 23eyes with stage V PDR,but only in 18 of 34 eyes with stage VI PDR,the difference Was significant (P<0.05).Conclusions The vitrectomy using the noncontact panoramic viewing systems is safe and effective for late PDR.The vision after surgery is positively correlated to the patient'S condition prior to operation.Therefore early diagnosis and treatment are strongly recommended. [Key words] Panoramic viewing systems;Vitrectomy;Proliferative diabetic retinopathy