中国实用眼科杂志
中國實用眼科雜誌
중국실용안과잡지
CHINESE JOURNAL OF PRACTICAL OPHTHALMOLOGY
2013年
6期
735-737
,共3页
25G玻璃体切割%扩大内界膜剥离%特发性黄斑裂孔
25G玻璃體切割%擴大內界膜剝離%特髮性黃斑裂孔
25G파리체절할%확대내계막박리%특발성황반렬공
25G transconjanctival sutureless vitrectomy system%Companded internal limited membrane peeling%Idiopathic macular hole
目的 观察应用25G玻璃体切割联合扩大内界膜剥离治疗特发性黄斑裂孔的效果.方法 经光学相干断层扫描、中心视野、眼底荧光血管造影及眼底照相等检查诊断为特发性黄斑裂孔患者20例20只眼,均接受25 G三通道玻璃体切割术,术中在吲哚菁绿的辅助下以25 G内界膜镊行扩大内界膜剥离,所有患眼行C3F8气体填充,对手术时间、术后最佳矫正视力、中心视野、黄斑裂孔愈合情况进行观察,随访6～12个月,平均8个月.结果 手术时间为12～18 min,平均15 min;最佳矫正视力:0.1～0.3者2只眼,＞0.3～0.5者8只眼,＞0.5～0.8者10只眼；术后末次中心视野检查发现中心暗点者2只眼,旁中心暗点者为1只眼.OCT检查提示19只眼黄斑裂孔闭合,有1只眼黄斑裂孔缩小,但未完全封闭.结论 应用TSV25G系统治疗特发性黄斑裂孔具有较好的治疗效果,能明显提高视力,改善视物变形,缩短手术时间,减少并发症.
目的 觀察應用25G玻璃體切割聯閤擴大內界膜剝離治療特髮性黃斑裂孔的效果.方法 經光學相榦斷層掃描、中心視野、眼底熒光血管造影及眼底照相等檢查診斷為特髮性黃斑裂孔患者20例20隻眼,均接受25 G三通道玻璃體切割術,術中在吲哚菁綠的輔助下以25 G內界膜鑷行擴大內界膜剝離,所有患眼行C3F8氣體填充,對手術時間、術後最佳矯正視力、中心視野、黃斑裂孔愈閤情況進行觀察,隨訪6～12箇月,平均8箇月.結果 手術時間為12～18 min,平均15 min;最佳矯正視力:0.1～0.3者2隻眼,＞0.3～0.5者8隻眼,＞0.5～0.8者10隻眼；術後末次中心視野檢查髮現中心暗點者2隻眼,徬中心暗點者為1隻眼.OCT檢查提示19隻眼黃斑裂孔閉閤,有1隻眼黃斑裂孔縮小,但未完全封閉.結論 應用TSV25G繫統治療特髮性黃斑裂孔具有較好的治療效果,能明顯提高視力,改善視物變形,縮短手術時間,減少併髮癥.
목적 관찰응용25G파리체절할연합확대내계막박리치료특발성황반렬공적효과.방법 경광학상간단층소묘、중심시야、안저형광혈관조영급안저조상등검사진단위특발성황반렬공환자20례20지안,균접수25 G삼통도파리체절할술,술중재신타정록적보조하이25 G내계막섭행확대내계막박리,소유환안행C3F8기체전충,대수술시간、술후최가교정시력、중심시야、황반렬공유합정황진행관찰,수방6～12개월,평균8개월.결과 수술시간위12～18 min,평균15 min;최가교정시력:0.1～0.3자2지안,＞0.3～0.5자8지안,＞0.5～0.8자10지안；술후말차중심시야검사발현중심암점자2지안,방중심암점자위1지안.OCT검사제시19지안황반렬공폐합,유1지안황반렬공축소,단미완전봉폐.결론 응용TSV25G계통치료특발성황반렬공구유교호적치료효과,능명현제고시력,개선시물변형,축단수술시간,감소병발증.
Objective To observe the effect of 25gauge vitrectomy combined with companded internal limited membrane peeling for idiopathic macular hole.Methods Twenty cases (20 eyes) with idiopathic macular epiretinal membrane diagnosed by optical coherence tomography,fluorescence fundus angiography,central visual field,fundus photography.All cases underwent three ports vitrectomy using 25gauge Transconjunctival Sutureless Vitrectomy System.Companded internal limited membrane peeling was conducted with 25g intraocular forceps with the help of staining of Indocyanine green.All patients were temponaded with C3F8.The operation time,postoperative BCVA,central visual field,the healing of maeular hole were observed.Follow-up was 6-12 months,meanly 8 months.Results The operation lasted for 12-18minutes,meanly 15 minutes; Among them,the BCVA was 0.1-0.3 in two eye,＞0.3-0.5 in eight eyes,＞0.5-0.8 in ten eyes; In all patients,central scotoma occurred in 2 eyes,paracentral scotoma in I eye in the last follow-up.Macular holes were closed in nineteen eyes,while one macular hole was closed partly.Condusions 25gauge vitrectomy combined with companded intemal limited membrane peeling is effective in treatment for idiopathic macular hole,it can promote visual acuity,shorten operation time,make metamorphopsia better,decrease complication.
