CAJ | 학술논문

目的：分析硅油填充术治疗高度近视黄斑孔性视网膜脱离的治疗效果。方法：回顾性非对照研究，玻璃体切割手术治疗高度近视黄斑孔性视网膜脱离16例（16眼），术中使用曲安奈德染色，内界膜剥离，术中注入硅油，术后光学相干断层扫描评估手术效果。结果：随访4～6个月行硅油取出术，16眼黄斑孔性视网膜复位15眼（93．75％），黄斑裂孔闭合，1眼黄斑裂孔未闭合视网膜仍浅脱；最佳矫正视力（BCVA）提高10眼（62．5％），不变4例（25．0％），视力下降2眼（12．5％）。结论：硅油填充能获得较好的高度近视黄斑孔性视网膜脱离复位，可作为首选填充物。
목적：분석규유전충술치료고도근시황반공성시망막탈리적치료효과。방법：회고성비대조연구，파리체절할수술치료고도근시황반공성시망막탈리16례（16안），술중사용곡안내덕염색，내계막박리，술중주입규유，술후광학상간단층소묘평고수술효과。결과：수방4～6개월행규유취출술，16안황반공성시망막복위15안（93．75％），황반렬공폐합，1안황반렬공미폐합시망막잉천탈；최가교정시력（BCVA）제고10안（62．5％），불변4례（25．0％），시력하강2안（12．5％）。결론：규유전충능획득교호적고도근시황반공성시망막탈리복위，가작위수선전충물。
Objective:To analysis the effective of silicone oil tamponade to treat treatment macular hole retinal detachment caused by high myopia.Methods:Retrospective and randomized study, 16 patients with retina detachment were treat par plana vitrectomy with silicon tamponade ,during surgery with triameinolone Acetonide to indicated the vitreus and internal limiting membrane, After the surgery,the pa-tients we assessed using spectral-domain optical coherence tomography to observe the macular hole.Results:Followed up 4-6 months, there were 15 patients(93.75%) got macular hole closed and retina reattachment in the 16 patients groups did not closed and retina shal-low detachment in 1 patient .The best corrected visual acuity(BCVA) got improved in 10 eyes(64.7%),unchanged in 4 eyes(23.5%), worsed in 2 eyes(11.8%) .Conclusion:Silion oil tamponade can be used as the first option in surgery of macular holes .