中华眼外伤职业眼病杂志
中華眼外傷職業眼病雜誌
중화안외상직업안병잡지
CHINESE JOURNAL OF OCULAR TRAUMA AND OCCUPATIONAL EYE DISEASE
2013年
1期
56-58
,共3页
黄斑前膜%玻璃体切除%膜剥离%视力
黃斑前膜%玻璃體切除%膜剝離%視力
황반전막%파리체절제%막박리%시력
Membrane,epiretinal,macular%Vitrectomy%Membrane peeling%Vision
目的 探讨玻璃体切除联合黄斑前膜剥离治疗黄斑前膜手术疗效.方法 回顾分析45例黄斑前膜手术治疗前后视功能改变及手术并发症.结果 随访3～10个月,45例(45眼)中特发性黄斑前膜23眼中,术前视力低于0.3者15眼(65.2％),0.3及以上者8眼(34.8％)；术后视力低于0.3者9眼(39.1％),0.3及以上者14眼(60.9％).继发性黄斑前膜22眼中,术前视力低于0.05者18眼(81.9％),术后为12眼(54.6％)；术前0.05及以上者4眼(18.1％),术后10眼(45.4％).两组术后视力改善.视物变形消失者占37.5％,其余患者视物变形症状明显改善.黄斑孔2眼为其手术严重并发症.结论 玻璃体切除联合黄斑前膜剥离是黄斑前膜有效的治疗方法.
目的 探討玻璃體切除聯閤黃斑前膜剝離治療黃斑前膜手術療效.方法 迴顧分析45例黃斑前膜手術治療前後視功能改變及手術併髮癥.結果 隨訪3～10箇月,45例(45眼)中特髮性黃斑前膜23眼中,術前視力低于0.3者15眼(65.2％),0.3及以上者8眼(34.8％)；術後視力低于0.3者9眼(39.1％),0.3及以上者14眼(60.9％).繼髮性黃斑前膜22眼中,術前視力低于0.05者18眼(81.9％),術後為12眼(54.6％)；術前0.05及以上者4眼(18.1％),術後10眼(45.4％).兩組術後視力改善.視物變形消失者佔37.5％,其餘患者視物變形癥狀明顯改善.黃斑孔2眼為其手術嚴重併髮癥.結論 玻璃體切除聯閤黃斑前膜剝離是黃斑前膜有效的治療方法.
목적 탐토파리체절제연합황반전막박리치료황반전막수술료효.방법 회고분석45례황반전막수술치료전후시공능개변급수술병발증.결과 수방3～10개월,45례(45안)중특발성황반전막23안중,술전시력저우0.3자15안(65.2％),0.3급이상자8안(34.8％)；술후시력저우0.3자9안(39.1％),0.3급이상자14안(60.9％).계발성황반전막22안중,술전시력저우0.05자18안(81.9％),술후위12안(54.6％)；술전0.05급이상자4안(18.1％),술후10안(45.4％).량조술후시력개선.시물변형소실자점37.5％,기여환자시물변형증상명현개선.황반공2안위기수술엄중병발증.결론 파리체절제연합황반전막박리시황반전막유효적치료방법.
Objective To study the effect of surgery on macular epiretinal membrane by vitrectomy with inner limiting membrane peeling.Methods The changes in visual function and complications of surgery in 45 cases with macular preretinal membrane before and after surgery were analysed.Results Followed up 3 ～ 10 months,45 cases(45 eyes) included idiopathic macular epiretinal membrane in 23 eyes and secondary epimacular membrane in 22 eyes.In 23 eyes with idiopathic macular epiretinal membrane,preoperative visual acuity was less than 0.3 in 15 eyes (65.2％),better than or equal to 0.3 in 8 eyes (34.8％) ;postoperative visual acuity was less than 0.3 in 9 eyes(39.1％),better than or equal to 0.3 in 14 eyes (60.9％).In 22 eyes with secondary macular epiretinal membrane,preoperative visual acuity was less than 0.05 in 18 eyes(81.9％),postoperative in 12 eyes(54.6％) ; preoperative was better than or equal to 0.05 in 4 eyes (18.1％),postoperative in 10 eyes(45.4％).The postoperative visual acuity improved in both groups.Metamorphosia disappeared in 37.5％,improved in remainder.The serious complications of the surgery included macular hole in 2 eyes.Conclusion Vitrectomy with inner limiting membrane peeling is effective treatment for macular epiretinal membrane.
