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
2014年
1期
34-37
,共4页
玻璃体切除器,23G%视网膜脱离%方法
玻璃體切除器,23G%視網膜脫離%方法
파리체절제기,23G%시망막탈리%방법
System,vitrectomy,23-gauge%Detachment,retinal%Method
目的 观察23G玻璃体切除手术治疗孔源性视网膜脱离的临床效果.方法 对23例(23眼)孔源性视网膜脱离应用23G玻璃体切除手术联合全氟丙烷(C3F8)或硅油填充,下方视网膜裂孔者联合巩膜外加压,合并白内障者同时对白内障行超声乳化吸出术.随访3～10个月,观察术后视网膜复位、视力等情况.结果 23眼手术顺利完成.术后3个月时视网膜复位21眼(91.30％),2眼(8.70％)视网膜脱离复发,再次玻璃体手术填充硅油视网膜复位.未发生其他并发症.术后3个月时视力:(1)黄斑区未脱离眼:术前最佳矫正视力0.1 ～0.5,LogMAR视力:1.0～0.3,平均0.42±0.29.术后最佳矫正视力0.2 ～0.5,LogMAR视力:0.7～0.3,平均0.38 ±0.19,t=1.83,P＞0.05,与术前比较差异无统计学意义.(2)黄斑区脱离眼:术前最佳矫正视力0.08 ～0.2,LogMAR视力:1.1～0.7,平均0.81±0.13.术后最佳矫正视力0.15 ～0.5,LogMAR视力:0.8～0.3,平均0.47±0.26,t=5.78,P＜0.05,与术前比较差异有统计学意义.结论 23G玻璃体切除手术治疗孔源性视网膜脱离效果良好,并发症少.
目的 觀察23G玻璃體切除手術治療孔源性視網膜脫離的臨床效果.方法 對23例(23眼)孔源性視網膜脫離應用23G玻璃體切除手術聯閤全氟丙烷(C3F8)或硅油填充,下方視網膜裂孔者聯閤鞏膜外加壓,閤併白內障者同時對白內障行超聲乳化吸齣術.隨訪3～10箇月,觀察術後視網膜複位、視力等情況.結果 23眼手術順利完成.術後3箇月時視網膜複位21眼(91.30％),2眼(8.70％)視網膜脫離複髮,再次玻璃體手術填充硅油視網膜複位.未髮生其他併髮癥.術後3箇月時視力:(1)黃斑區未脫離眼:術前最佳矯正視力0.1 ～0.5,LogMAR視力:1.0～0.3,平均0.42±0.29.術後最佳矯正視力0.2 ～0.5,LogMAR視力:0.7～0.3,平均0.38 ±0.19,t=1.83,P＞0.05,與術前比較差異無統計學意義.(2)黃斑區脫離眼:術前最佳矯正視力0.08 ～0.2,LogMAR視力:1.1～0.7,平均0.81±0.13.術後最佳矯正視力0.15 ～0.5,LogMAR視力:0.8～0.3,平均0.47±0.26,t=5.78,P＜0.05,與術前比較差異有統計學意義.結論 23G玻璃體切除手術治療孔源性視網膜脫離效果良好,併髮癥少.
목적 관찰23G파리체절제수술치료공원성시망막탈리적림상효과.방법 대23례(23안)공원성시망막탈리응용23G파리체절제수술연합전불병완(C3F8)혹규유전충,하방시망막렬공자연합공막외가압,합병백내장자동시대백내장행초성유화흡출술.수방3～10개월,관찰술후시망막복위、시력등정황.결과 23안수술순리완성.술후3개월시시망막복위21안(91.30％),2안(8.70％)시망막탈리복발,재차파리체수술전충규유시망막복위.미발생기타병발증.술후3개월시시력:(1)황반구미탈리안:술전최가교정시력0.1 ～0.5,LogMAR시력:1.0～0.3,평균0.42±0.29.술후최가교정시력0.2 ～0.5,LogMAR시력:0.7～0.3,평균0.38 ±0.19,t=1.83,P＞0.05,여술전비교차이무통계학의의.(2)황반구탈리안:술전최가교정시력0.08 ～0.2,LogMAR시력:1.1～0.7,평균0.81±0.13.술후최가교정시력0.15 ～0.5,LogMAR시력:0.8～0.3,평균0.47±0.26,t=5.78,P＜0.05,여술전비교차이유통계학의의.결론 23G파리체절제수술치료공원성시망막탈리효과량호,병발증소.
Objective To observe clinical efficacy of 23-gauge (23G) transconjunctival vitrectomy for rhegmatogenous retinal detachment.Methods 23 eyes of 23 patients with rhegmatogenous retinal detachment had undergone 23G transconjunctival vitrectomy with perfluoropropane gas (C3F8) or silicone oil tamponade.Scleral bulking was done for inferior retinal hole.And phacoemulsification was done for patients with cataract at the same time.The follow-up ranged from 3 to 10 months.The postoperative retinal reposition and visual acuity were observed.Results The surgery was sucessfully completed in 23 eyes.The retinal reattached in 21 eyes (91.30％) 3 months after surgery,The 2 eyes (8.70％) recurrred retinal detachment were accepted silicone oil tamponade for retinal reattachment.The other complications were not found.3 months postoperative vision:(1) In the eyes without macular detachment:the preoperative best corrected visual acuity (BCVA) was 0.1 ～ 0.5,LogMAR visual acuity 1.0 ～ 0.3,the average 0.42 ± 0.29,postoperative BCVA was 0.2 ～ 0.5,LogMAR visual acuity 0.7 ～ 0.3,the average 0.38 ± 0.19,(t =1.83,P ＞0.05),there was no statistically significant difference compared with the preoperative one.(2) In the eyes with macular detachment:The preoperative BCVA was 0.08 ～ 0.2,LogMAR visual acuity 1.1 ～ 0.7,the average 0.81 ± 0.13,the postoperative BCVA was 0.15 ～ 0.5,LogMAR visual acuity 0.8 ～ 0.3,the average 0.47 ± 0.26,the difference was statistically significant compared with the preoperative one (t =5.78,P＜ 0.05).Conclusion 23G transconjunctival vitrectomy is an effective surgery for the management of retinal detachment.
