国际眼科杂志
國際眼科雜誌
국제안과잡지
INTERNATIONAL JOURNAL OF OPHTHALMOLOGY
2014年
11期
1968-1970
,共3页
王晓波%吴国基%罗向东%刘丛
王曉波%吳國基%囉嚮東%劉叢
왕효파%오국기%라향동%류총
全氟萘烷残留%黄斑%内界膜剥除%38 G套管针
全氟萘烷殘留%黃斑%內界膜剝除%38 G套管針
전불내완잔류%황반%내계막박제%38 G투관침
perfluorodecalin residue%macular%internal limiting membrane peeling%38G casing needle
目的：观察黄斑区内界膜(ILM)剥除联合38G套管针应用治疗黄斑区视网膜下全氟萘烷残留的疗效。
<br> 方法：选取来自厦门眼科中心2008-01/2013-10期间的29例29眼视网膜复位良好、但黄斑区视网膜下全氟萘烷残留的患者,分为A组、B组。 A组14例14眼,取出硅油后,直接以38 G套管针吸除黄斑区视网膜下全氟萘烷液体,术闭填充过滤空气。 B组15例15眼,取出硅油后,染色并完整剥除黄斑区ILM,范围约4PD,以38G套管针吸除黄斑区视网膜下全氟萘烷液体,术闭填充过滤空气。所有病例如在术后1 wk复查OCT发现黄斑裂孔形成者,均再行气液交换,填充16% C3 F8气体。观察两组病例术后4,8,24 wk最佳矫正视力( BCVA )变化,复查OCT观察黄斑区视网膜下全氟萘烷液体有无残留、有无黄斑裂孔形成及黄斑区形态变化等。
<br> 结果：两组术后 4, 8, 24 wk 的 BCVA 均有提高, B 组的BCVA提高值优于A组( P<0.05)。 A 组术后24 wk 有7例(50%)黄斑裂孔形成,黄斑区无全氟萘烷残留。 B组术后24 wk 1例(7%)黄斑裂孔形成,黄斑区无全氟萘烷残留。
<br> 结论：黄斑区内界膜剥除联合38 G套管针应用治疗黄斑区视网膜下全氟萘烷残留的方法可以彻底吸除黄斑区视网膜下全氟萘烷,较少出现黄斑裂孔,该方法安全、有效、微创,有效保护了黄斑区视功能。
目的：觀察黃斑區內界膜(ILM)剝除聯閤38G套管針應用治療黃斑區視網膜下全氟萘烷殘留的療效。
<br> 方法：選取來自廈門眼科中心2008-01/2013-10期間的29例29眼視網膜複位良好、但黃斑區視網膜下全氟萘烷殘留的患者,分為A組、B組。 A組14例14眼,取齣硅油後,直接以38 G套管針吸除黃斑區視網膜下全氟萘烷液體,術閉填充過濾空氣。 B組15例15眼,取齣硅油後,染色併完整剝除黃斑區ILM,範圍約4PD,以38G套管針吸除黃斑區視網膜下全氟萘烷液體,術閉填充過濾空氣。所有病例如在術後1 wk複查OCT髮現黃斑裂孔形成者,均再行氣液交換,填充16% C3 F8氣體。觀察兩組病例術後4,8,24 wk最佳矯正視力( BCVA )變化,複查OCT觀察黃斑區視網膜下全氟萘烷液體有無殘留、有無黃斑裂孔形成及黃斑區形態變化等。
<br> 結果：兩組術後 4, 8, 24 wk 的 BCVA 均有提高, B 組的BCVA提高值優于A組( P<0.05)。 A 組術後24 wk 有7例(50%)黃斑裂孔形成,黃斑區無全氟萘烷殘留。 B組術後24 wk 1例(7%)黃斑裂孔形成,黃斑區無全氟萘烷殘留。
<br> 結論：黃斑區內界膜剝除聯閤38 G套管針應用治療黃斑區視網膜下全氟萘烷殘留的方法可以徹底吸除黃斑區視網膜下全氟萘烷,較少齣現黃斑裂孔,該方法安全、有效、微創,有效保護瞭黃斑區視功能。
목적：관찰황반구내계막(ILM)박제연합38G투관침응용치료황반구시망막하전불내완잔류적료효。
<br> 방법：선취래자하문안과중심2008-01/2013-10기간적29례29안시망막복위량호、단황반구시망막하전불내완잔류적환자,분위A조、B조。 A조14례14안,취출규유후,직접이38 G투관침흡제황반구시망막하전불내완액체,술폐전충과려공기。 B조15례15안,취출규유후,염색병완정박제황반구ILM,범위약4PD,이38G투관침흡제황반구시망막하전불내완액체,술폐전충과려공기。소유병례여재술후1 wk복사OCT발현황반렬공형성자,균재행기액교환,전충16% C3 F8기체。관찰량조병례술후4,8,24 wk최가교정시력( BCVA )변화,복사OCT관찰황반구시망막하전불내완액체유무잔류、유무황반렬공형성급황반구형태변화등。
<br> 결과：량조술후 4, 8, 24 wk 적 BCVA 균유제고, B 조적BCVA제고치우우A조( P<0.05)。 A 조술후24 wk 유7례(50%)황반렬공형성,황반구무전불내완잔류。 B조술후24 wk 1례(7%)황반렬공형성,황반구무전불내완잔류。
<br> 결론：황반구내계막박제연합38 G투관침응용치료황반구시망막하전불내완잔류적방법가이철저흡제황반구시망막하전불내완,교소출현황반렬공,해방법안전、유효、미창,유효보호료황반구시공능。
AIM: To observe the effect of the treatment to the perfluorodecalin residue on macular subretinal by internal limiting membrane ( ILM ) peeling combined with 38G casing needle.
<br> METHODS: Twenty-nine cases ( 29 eyes ) of retinal reattachment and with perfluorodecalin residual on the macular subretinal, selected in Xiamen Eye Center from January 2008 to October 2013, were divided into group A (14 cases, 14 eyes ) and group B ( 15 cases, 15 eyes ) randomly. In group A, after removal of silicone oil, perfluorodecalin liquids at the macular subretinal directly were aspirated by 38G casing needle. In group B, after removal of silicone oil, ILM was dyed and peeled completely to the range of 4PD approximately. Then the perfluorodecalin liquids at the macular subretinal were aspirated by 38G casing needle. All cases of both groups were filled with filtered air. After 1wk, the case with macular hole found by OCT was exchanged by air-fluid and filled with 16% C3 F8 . The best corrected visual acuity (BCVA) of two groups of patients was observed after 4, 8, 24wk. OCT was reviewed to observe whether there were perfluorodecalin residue on the macular subretinal, formation of macular hole and macular morphological changes, retinal detachment.
<br> RESULTS: BCVA was improved in both groups after 4, 8, 24wk. And the value of BCVA improvedin group B was better than that in group A (P<0. 05). There were 7 cases (50%) with macular hole in group A and 1 case ( 7%) with macular hole in group B at 24wk after operation. In both groups, there were no perfluorodecalin residual on the macular and retinal detachment at 24wk after surgery.CONCLUSION: ILM peeling combined with 38G casing needle can aspirate completely the perfluorodecalin residual on macular. There were not caused macular hole and retinal detachment. This method is an safe, effective and minimally invasive surgical technique to protect the macular function.
