CAJ | 학술논문

目的探讨全玻璃体切除联合保留前囊膜晶状体切除术治疗增生性糖尿病性视网膜病变(PDR)的疗效.方法 PDR患者30例(31只眼),均行保留前囊膜晶状体切除联合全玻璃体切除术,术中行超全视网膜光凝.其中8只眼行硅油充填,26只眼行Ⅱ期人工晶体植入,术后随访10～15个月.结果 26只眼(人工晶状体植入)术后视力显著提高,发生新生血管性青光眼1只眼,复发性视网膜脱离1只眼,视神经萎缩1只眼,3只眼前囊膜明显昆浊.结论全玻璃体切除联合保留前囊膜晶状体切除治疗PDR是安全有效的方法.
목적 탐토전파리체절제연합보류전낭막정상체절제술치료증생성당뇨병성시망막병변(PDR)적료효.방법 PDR환자30례(31지안),균행보류전낭막정상체절제연합전파리체절제술,술중행초전시망막광응.기중8지안행규유충전,26지안행Ⅱ기인공정체식입,술후수방10～15개월.결과 26지안(인공정상체식입)술후시력현저제고,발생신생혈관성청광안1지안,복발성시망막탈리1지안,시신경위축1지안,3지안전낭막명현곤탁.결론 전파리체절제연합보류전낭막정상체절제치료PDR시안전유효적방법.
ObJective To observe the effect of total vitrectomy combined with lensectomy and reserving anterior capsule for proliferative diabetic retinopathy.Methods Total of 30 patients (31eyes) who were suffered from proliferative diabetic retinopathy was taken treatment.All eyes accepted total vitrectomy combined with lensectomy reserving anterior capsule and panretinal photocoagulation.Silicone oil tamponade was done in 8 eyes,26 eyes were implanted intraocular lens during two-stage operation.The follow-up was 10-15 months.Results Visual acuity was improved in 26 eyes after being implanted intraocular lens.One eye suffered from neovascular glaucoma.One eye suffered from recurrent retinal detachment.One eye suffered from optic atrophy.Severe opacification of anterior capsule occurred in 3 eyes.Conclusions Total vitrectomy combined with lensectomy and reserving anterior capsule is effective therapy for proliferative diabetic retinopathy.