国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
5期
866-868
,共3页
贾俊%何媛%刘慧峰%万鹏飞
賈俊%何媛%劉慧峰%萬鵬飛
가준%하원%류혜봉%만붕비
玻璃体切除%视网膜光凝%糖尿病%增生性%视网膜病变
玻璃體切除%視網膜光凝%糖尿病%增生性%視網膜病變
파리체절제%시망막광응%당뇨병%증생성%시망막병변
vitrectomy%retinal photocoagulation%diabetes%proliferative%retinopathy
目的：评价玻璃体切除联合视网膜光凝治疗增生性糖尿病视网膜病变( proliferative diabetic retinopathy, PDR)的临床效果。<br> 方法：回顾性分析了2009-07/2012-11在我院行玻璃体切除,术后行眼底血管荧光造影后,4 wk内给予视网膜光凝的PDR患者72例104眼,出院后随访12 mo以上,统计分析术前、术后及最终矫正视力、手术并发症等临床资料。<br> 结果：视网膜光凝(最后一次视网膜光凝)后1 wk内视力提高有效率88.5%(92/104),1mo 视力提高有效率92.3%(96/104),3mo视力提高有效率90.4%(94/104),其中1眼发生新生血管青光眼,6 mo 视力提高有效率88.5%(92/104),其中1眼发生视网膜脱离,12mo视力提高有效率80.8%(84/104),并出现2眼硅油乳化,随着糖尿病眼底病变发展,视力提高率下降,硅油眼手术并发症增多,尤其吁期及遇期患眼。<br> 结论：玻璃体切除造影后联合视网膜光凝治疗PDR是安全有效的,玻璃体切除术后进行造影可以有的放矢的进行视网膜光凝,既能减少过度光凝,又能防止光凝不足。可以有效提高患者视力,降低并发症。
目的：評價玻璃體切除聯閤視網膜光凝治療增生性糖尿病視網膜病變( proliferative diabetic retinopathy, PDR)的臨床效果。<br> 方法：迴顧性分析瞭2009-07/2012-11在我院行玻璃體切除,術後行眼底血管熒光造影後,4 wk內給予視網膜光凝的PDR患者72例104眼,齣院後隨訪12 mo以上,統計分析術前、術後及最終矯正視力、手術併髮癥等臨床資料。<br> 結果：視網膜光凝(最後一次視網膜光凝)後1 wk內視力提高有效率88.5%(92/104),1mo 視力提高有效率92.3%(96/104),3mo視力提高有效率90.4%(94/104),其中1眼髮生新生血管青光眼,6 mo 視力提高有效率88.5%(92/104),其中1眼髮生視網膜脫離,12mo視力提高有效率80.8%(84/104),併齣現2眼硅油乳化,隨著糖尿病眼底病變髮展,視力提高率下降,硅油眼手術併髮癥增多,尤其籲期及遇期患眼。<br> 結論：玻璃體切除造影後聯閤視網膜光凝治療PDR是安全有效的,玻璃體切除術後進行造影可以有的放矢的進行視網膜光凝,既能減少過度光凝,又能防止光凝不足。可以有效提高患者視力,降低併髮癥。
목적：평개파리체절제연합시망막광응치료증생성당뇨병시망막병변( proliferative diabetic retinopathy, PDR)적림상효과。<br> 방법：회고성분석료2009-07/2012-11재아원행파리체절제,술후행안저혈관형광조영후,4 wk내급여시망막광응적PDR환자72례104안,출원후수방12 mo이상,통계분석술전、술후급최종교정시력、수술병발증등림상자료。<br> 결과：시망막광응(최후일차시망막광응)후1 wk내시력제고유효솔88.5%(92/104),1mo 시력제고유효솔92.3%(96/104),3mo시력제고유효솔90.4%(94/104),기중1안발생신생혈관청광안,6 mo 시력제고유효솔88.5%(92/104),기중1안발생시망막탈리,12mo시력제고유효솔80.8%(84/104),병출현2안규유유화,수착당뇨병안저병변발전,시력제고솔하강,규유안수술병발증증다,우기우기급우기환안。<br> 결론：파리체절제조영후연합시망막광응치료PDR시안전유효적,파리체절제술후진행조영가이유적방시적진행시망막광응,기능감소과도광응,우능방지광응불족。가이유효제고환자시력,강저병발증。
AIM:To evaluate clinical effect of vitrectomy combined with retinal photocoagulation for proliferative diabetic retinopathy ( PDR) . <br> METHODS:A retrospective analysis 72 patients ( 104 eyes) with PDR who underwent vitrectomy, postoperative fundus fluorescein angiography and retinal photocoagulation within 4wk, from July 2009 to November 2012 in our hospital. All the patients were followed up for more than 12mo, analysising the clinical data of preoperative, postoperative, final corrected vision and the operation complications. <br> RESULTS:The increasing rate of visual acuity after retinal photocoagulation ( the last retinal photocoagulation) within 1wk was 88. 5% (92/104), 1mo was 92. 3% (96/104), 3mo was 90. 4% (94/104) and one eye had neovascular glaucoma, 6mo was 88. 5% (92/104) and one eye had retinal detachment, 12mo was 80. 8%(84/104) and 2 eyes with silicone oil emulsification. Along with the development of diabetic retinopathy, the increasing rate of visual acuity declined, complications of silicone oil eye operation increased, especially in eyes with proliferative diabetic retinopathy in phase five or six. <br> CONCLUSION: Vitrectomy combined with retinal photocoagulation in treatment of PDR is effective and safe. Postoperative fundus fluorescein angiography can have a definite object in view of retinal photocoagulation after vitrectomy, which can reduce excessive photocoagulation and prevent light coagulation deficiencies, while improve the visual acuity effectively and reduce the complications.
