国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
6期
1086-1088
,共3页
玻璃体切割术%黄斑裂孔%光学相干断层扫描
玻璃體切割術%黃斑裂孔%光學相榦斷層掃描
파리체절할술%황반렬공%광학상간단층소묘
vitrectomy%macular hole%optical coherence tomography
目的：观察23 G 微创玻璃体切割术治疗特发性黄斑裂孔的临床效果。<br> 方法：选取2013-01/10在我院采用23 G 玻璃体切割系统治疗特发性黄斑裂孔患者28例28眼,进行回顾性研究。对患者进行3~12 mo的术后随访观察,进行疗效评价与分析。<br> 结果：23 G微创玻璃体切割术治疗特发性黄斑裂孔28眼,27眼黄斑裂孔愈合,1眼未愈合。术后1,3 mo矫正视力较术前有显著提高(χ2=8.65, P=0.003；χ2=10.33, P=0-001)。光学相干断层扫描( optical coherence tomography,OCT)提示黄斑区裂孔封闭。术中切口缝合5例(18%)。术后眼压与术前相比差异无统计学意义。术后未发生眼内炎、视网膜脱离、玻璃体出血等并发症。<br> 结论：23 G微创玻璃体切割术是治疗特发性黄斑裂孔的一种安全有效的方法,对于简单的黄斑区手术考虑首选23 G微创玻璃体切割术。
目的：觀察23 G 微創玻璃體切割術治療特髮性黃斑裂孔的臨床效果。<br> 方法：選取2013-01/10在我院採用23 G 玻璃體切割繫統治療特髮性黃斑裂孔患者28例28眼,進行迴顧性研究。對患者進行3~12 mo的術後隨訪觀察,進行療效評價與分析。<br> 結果：23 G微創玻璃體切割術治療特髮性黃斑裂孔28眼,27眼黃斑裂孔愈閤,1眼未愈閤。術後1,3 mo矯正視力較術前有顯著提高(χ2=8.65, P=0.003；χ2=10.33, P=0-001)。光學相榦斷層掃描( optical coherence tomography,OCT)提示黃斑區裂孔封閉。術中切口縫閤5例(18%)。術後眼壓與術前相比差異無統計學意義。術後未髮生眼內炎、視網膜脫離、玻璃體齣血等併髮癥。<br> 結論：23 G微創玻璃體切割術是治療特髮性黃斑裂孔的一種安全有效的方法,對于簡單的黃斑區手術攷慮首選23 G微創玻璃體切割術。
목적：관찰23 G 미창파리체절할술치료특발성황반렬공적림상효과。<br> 방법：선취2013-01/10재아원채용23 G 파리체절할계통치료특발성황반렬공환자28례28안,진행회고성연구。대환자진행3~12 mo적술후수방관찰,진행료효평개여분석。<br> 결과：23 G미창파리체절할술치료특발성황반렬공28안,27안황반렬공유합,1안미유합。술후1,3 mo교정시력교술전유현저제고(χ2=8.65, P=0.003；χ2=10.33, P=0-001)。광학상간단층소묘( optical coherence tomography,OCT)제시황반구렬공봉폐。술중절구봉합5례(18%)。술후안압여술전상비차이무통계학의의。술후미발생안내염、시망막탈리、파리체출혈등병발증。<br> 결론：23 G미창파리체절할술시치료특발성황반렬공적일충안전유효적방법,대우간단적황반구수술고필수선23 G미창파리체절할술。
AIM:To observe the clinical effects of 23-gauge (23G) transconjunctival sutureless vitrectomy for idiopathic macular hole. <br> METHODS: In this retrospective study, 28 eyes of 28 consecutive patients who underwent 23 - gauge transconjunctival sutureless vitrectomy for idiopathic macular hole between January 2013 and October 2013 in our hospital were evaluated. The follow-up time was 3-12mo. The operation effects were analyzed. <br> RESULTS:The macular hole was closed in 27 eyes of 28 eyes which underwent 23G transconjunctival sutureless vitrectomy and not closed in 1 eye after surgery. Best-corrected visual acuity at postoperative 1, 3mo was significantly improved compared to pre-operation (χ2=8-65, P=0. 003;χ2=10. 33, P=0. 001). The macular hole was closed as shown by OCT. Intraoperative incision was sutured in 5 cases ( 18%) . There was no statistically significant difference in intraocular pressure between pre-operation and post - operation. No post - operative complications such as endophthalmitis, retinal detachment, vitreous hemorrhage came up. <br> CONCLUSION: 23G transconjunctival sutureless vitrectomy is observed to be safe and effective technique in the treatment of macular hole. It is therefore our preferred system for straightforward macular surgery.
