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
2期
89-91
,共3页
路小楠%金学民%田磊%万文萃%王家良
路小楠%金學民%田磊%萬文萃%王傢良
로소남%금학민%전뢰%만문췌%왕가량
加固,黄斑%剥离,内界膜%近视,高度%黄斑孔
加固,黃斑%剝離,內界膜%近視,高度%黃斑孔
가고,황반%박리,내계막%근시,고도%황반공
Reinforcement,macular%Removal,membrane,internal limiting%Myopia,high%Hole,macular
目的 评价黄斑加固联合内界膜剥离、注气治疗早期高度近视黄斑孔性视网膜脱离的效果.方法 10例10只眼早期高度近视黄斑孔性视网膜脱离进行了黄斑加固、玻璃体切除、内界膜剥离、玻璃体腔注气治疗.均有黄斑部视网膜脱离,眼轴长度均超过27.0 mm,均有黄斑全层破孔.视网膜已僵硬者排除在外.术后随访6～18个月.结果 10只眼初次手术后,视网膜全部复位.但1只眼1月后视网膜再次脱离,再次行玻璃体腔注气术后视网膜复位,黄斑孔未闭合.10只眼中有5只眼黄斑孔闭合;5只眼黄斑孔部分区域闭合,部分组织缺损(1个月后黄斑孔周围行激光封闭).术中未见医源性裂孔形成,术后1只眼玻璃体积血,2周后自行吸收.余术后无眼内出血或眼内炎等严重并发症发生.结论 黄斑加固联合内界膜剥离注气术是治疗早期高度近视黄斑孔性视网膜脱离安全有效的手术方法.能提高视网膜解剖复位率、黄斑孔闭合率.
目的 評價黃斑加固聯閤內界膜剝離、註氣治療早期高度近視黃斑孔性視網膜脫離的效果.方法 10例10隻眼早期高度近視黃斑孔性視網膜脫離進行瞭黃斑加固、玻璃體切除、內界膜剝離、玻璃體腔註氣治療.均有黃斑部視網膜脫離,眼軸長度均超過27.0 mm,均有黃斑全層破孔.視網膜已僵硬者排除在外.術後隨訪6～18箇月.結果 10隻眼初次手術後,視網膜全部複位.但1隻眼1月後視網膜再次脫離,再次行玻璃體腔註氣術後視網膜複位,黃斑孔未閉閤.10隻眼中有5隻眼黃斑孔閉閤;5隻眼黃斑孔部分區域閉閤,部分組織缺損(1箇月後黃斑孔週圍行激光封閉).術中未見醫源性裂孔形成,術後1隻眼玻璃體積血,2週後自行吸收.餘術後無眼內齣血或眼內炎等嚴重併髮癥髮生.結論 黃斑加固聯閤內界膜剝離註氣術是治療早期高度近視黃斑孔性視網膜脫離安全有效的手術方法.能提高視網膜解剖複位率、黃斑孔閉閤率.
목적 평개황반가고연합내계막박리、주기치료조기고도근시황반공성시망막탈리적효과.방법 10례10지안조기고도근시황반공성시망막탈리진행료황반가고、파리체절제、내계막박리、파리체강주기치료.균유황반부시망막탈리,안축장도균초과27.0 mm,균유황반전층파공.시망막이강경자배제재외.술후수방6～18개월.결과 10지안초차수술후,시망막전부복위.단1지안1월후시망막재차탈리,재차행파리체강주기술후시망막복위,황반공미폐합.10지안중유5지안황반공폐합;5지안황반공부분구역폐합,부분조직결손(1개월후황반공주위행격광봉폐).술중미견의원성렬공형성,술후1지안파리체적혈,2주후자행흡수.여술후무안내출혈혹안내염등엄중병발증발생.결론 황반가고연합내계막박리주기술시치료조기고도근시황반공성시망막탈리안전유효적수술방법.능제고시망막해부복위솔、황반공폐합솔.
Objective To evaluate the efficacy of macular reinforcement combined with internal limiting membrane removal and gas tamponade with perfluoropropane injection for macular hole related retinal detachment in patients with high myopia.Methods Ten eyes of 10 patients with retinal detachment associated with myopic macular hole received the surgery of macular reinforcement combined with pars plana vitrectomy,internal limiting membrane peeling and gas tamponade.All patients were with ocular axial length over 27.0 mm,macular retinal detachment,and full thickness macular hole.Patients with inflexible retina were excluded.Postoperative follow-up was 6 ～ 18 months.Results The retina reattached in the 10 eyes following the initial surgery.Retinal detachment recurred in one eye one month after the initial surgery,after perfluoropropane gas tamponade done again,the retina was reattached,but the macular hole did not be closed.The macular hole was anatomically closed in five eyes and partially closed in five eyes,still some tissue defect in the macular center.No iatrogenic retinal tear formed in the operation.Postoperative vitreous hemorrhage appeared in one eye after surgery and resolved spontaneously 2 weeks latter.No endophalmitis happened postoperatively.Conclusion Macular reinforcement combined with pars plana vitrectomy,internal limiting membrane peeling and gas tamponade with perfluoropropane is a safe and effective surgical treatment for macular hole related retinal detachment in patients with high myopia.
