中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2011年
11期
1139-1142
,共4页
曲进锋%黎晓新%姜燕荣%赵明威%尹虹
麯進鋒%黎曉新%薑燕榮%趙明威%尹虹
곡진봉%려효신%강연영%조명위%윤홍
外伤性黄斑孔%手术%玻璃体切割%预后
外傷性黃斑孔%手術%玻璃體切割%預後
외상성황반공%수술%파리체절할%예후
Traumatic macular hole%Surgery%Vitrectomy%Outcome
目的 对玻璃体切除术治疗外伤性黄斑孔的疗效进行同顾性分析.方法 回顾性分析2000年至2008年期间接受玻璃体切除治疗的外伤性黄斑孔病例共95例95只眼.均接受标准的扁平部玻璃体切割、气体填充联合或不联合内界膜( ILM)剥除及血小板封孔术.比较手术前后孔的闭合情况及视力的恢复情况.结果 术前平均病程为(9.8±21.8)个月,平均孔径为(644.2±270.5)μm,平均最佳矫正视力(BCVA)为0.12±0.1( 1.1±0.45 )logMAR.术后平均随访(96± 131)d,患者视力提高69只眼(72.6％)、不变19只眼(20％)、下降7只眼(7.4％).术后BCVA平均为0.22±0.19(0.83±0.40)logMAR,比术前显著提高.术后BCVA达0.2以上者46只眼(48.4％).单次手术后孔闭合率为100％.结论 玻璃体切除术治疗外伤性黄斑孔能有效促进裂孔闭合,提高视力.
目的 對玻璃體切除術治療外傷性黃斑孔的療效進行同顧性分析.方法 迴顧性分析2000年至2008年期間接受玻璃體切除治療的外傷性黃斑孔病例共95例95隻眼.均接受標準的扁平部玻璃體切割、氣體填充聯閤或不聯閤內界膜( ILM)剝除及血小闆封孔術.比較手術前後孔的閉閤情況及視力的恢複情況.結果 術前平均病程為(9.8±21.8)箇月,平均孔徑為(644.2±270.5)μm,平均最佳矯正視力(BCVA)為0.12±0.1( 1.1±0.45 )logMAR.術後平均隨訪(96± 131)d,患者視力提高69隻眼(72.6％)、不變19隻眼(20％)、下降7隻眼(7.4％).術後BCVA平均為0.22±0.19(0.83±0.40)logMAR,比術前顯著提高.術後BCVA達0.2以上者46隻眼(48.4％).單次手術後孔閉閤率為100％.結論 玻璃體切除術治療外傷性黃斑孔能有效促進裂孔閉閤,提高視力.
목적 대파리체절제술치료외상성황반공적료효진행동고성분석.방법 회고성분석2000년지2008년기간접수파리체절제치료적외상성황반공병례공95례95지안.균접수표준적편평부파리체절할、기체전충연합혹불연합내계막( ILM)박제급혈소판봉공술.비교수술전후공적폐합정황급시력적회복정황.결과 술전평균병정위(9.8±21.8)개월,평균공경위(644.2±270.5)μm,평균최가교정시력(BCVA)위0.12±0.1( 1.1±0.45 )logMAR.술후평균수방(96± 131)d,환자시력제고69지안(72.6％)、불변19지안(20％)、하강7지안(7.4％).술후BCVA평균위0.22±0.19(0.83±0.40)logMAR,비술전현저제고.술후BCVA체0.2이상자46지안(48.4％).단차수술후공폐합솔위100％.결론 파리체절제술치료외상성황반공능유효촉진렬공폐합,제고시력.
Objective To evaluate the outcomes of vitrectomy for traumatic macular hole.Methods The design of this study was retrospective.The participants included 95 eyes of 95 patients who had vitreous surgery for traumatic macular holes during 2000 and 2005.All of them had undergone pars plana vitrectomy,with or without internal limiting membrane peeling,using of concentrated plate and intraocular gas tamponade.The main outcome parameters were preoperative and best visual acuity during follow-up and macular hole closure rate.Results The average course of disease was 9.8± 21.8 months,the average diameter of macular hole was 644.2μ m± 270.5μ m,the average preoperative best corrected visual acuity (BCVA) was 0.12± 0.1 (1.1± 0.451ogMAR).The average of follow-up after vitrectomy was 96± 131 days.Postoperative BCVA improved in 69 eyes (72.6％),kept stable in 19 eyes (20％),decreased in 7 eyes (7.4％).The average postoperative BCVA was 0.22±0.19 (0.83± 0.40logMAR) and significantly increased comparing to preoperative BCVA,46 eyes (48.4％) got postoperative BCVA better than 0.2.Macular hole closure rate after the first surgery was 100％.Conclusions Macular hole surgery results in satisfying anatomical and visual improvements in traumatic macular hole.
