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
2015年
3期
172-175
,共4页
荣华%张美萍%徐跃里%崔红平
榮華%張美萍%徐躍裏%崔紅平
영화%장미평%서약리%최홍평
玻璃体视网膜手术%近视,高度%视网膜脱离,黄斑孔
玻璃體視網膜手術%近視,高度%視網膜脫離,黃斑孔
파리체시망막수술%근시,고도%시망막탈리,황반공
Vitreoretinal surgery%Myopia,high%Detachment,retinal,macular hole
目的 观察2.2 mm微切口晶状体超声乳化联合23 G微创玻璃体视网膜手术治疗高度近视黄斑孔视网膜脱离临床疗效.方法 回顾性分析2012年1月至2013年6月高度近视黄斑孔视网膜脱离53例(55只眼),行2.2 mm微切口晶状体超声乳化联合23 G微创玻璃体视网膜手术的临床资料.术后随访眼压、最佳矫正视力、黄斑孔的闭合情况及视网膜复位情况.结果 术后早期出现高眼压18只眼(32.73％),14只眼经药物控制,2只眼取硅油后控制,2只眼行小梁切除术控制;术后最佳矫正视力提高者53只眼(96.36％),无变化2只眼(3.64％),术前术后视力差异有统计学意义;黄斑孔闭合52只眼(94.55％),视网膜复位53只眼(96.36％).结论 2.2 mm微切口晶状体超声乳化联合23G微创玻璃体视网膜手术是治疗高度近视黄斑孔视网膜脱离的有效方法.
目的 觀察2.2 mm微切口晶狀體超聲乳化聯閤23 G微創玻璃體視網膜手術治療高度近視黃斑孔視網膜脫離臨床療效.方法 迴顧性分析2012年1月至2013年6月高度近視黃斑孔視網膜脫離53例(55隻眼),行2.2 mm微切口晶狀體超聲乳化聯閤23 G微創玻璃體視網膜手術的臨床資料.術後隨訪眼壓、最佳矯正視力、黃斑孔的閉閤情況及視網膜複位情況.結果 術後早期齣現高眼壓18隻眼(32.73％),14隻眼經藥物控製,2隻眼取硅油後控製,2隻眼行小樑切除術控製;術後最佳矯正視力提高者53隻眼(96.36％),無變化2隻眼(3.64％),術前術後視力差異有統計學意義;黃斑孔閉閤52隻眼(94.55％),視網膜複位53隻眼(96.36％).結論 2.2 mm微切口晶狀體超聲乳化聯閤23G微創玻璃體視網膜手術是治療高度近視黃斑孔視網膜脫離的有效方法.
목적 관찰2.2 mm미절구정상체초성유화연합23 G미창파리체시망막수술치료고도근시황반공시망막탈리림상료효.방법 회고성분석2012년1월지2013년6월고도근시황반공시망막탈리53례(55지안),행2.2 mm미절구정상체초성유화연합23 G미창파리체시망막수술적림상자료.술후수방안압、최가교정시력、황반공적폐합정황급시망막복위정황.결과 술후조기출현고안압18지안(32.73％),14지안경약물공제,2지안취규유후공제,2지안행소량절제술공제;술후최가교정시력제고자53지안(96.36％),무변화2지안(3.64％),술전술후시력차이유통계학의의;황반공폐합52지안(94.55％),시망막복위53지안(96.36％).결론 2.2 mm미절구정상체초성유화연합23G미창파리체시망막수술시치료고도근시황반공시망막탈리적유효방법.
Objective To observe the therapeutic effect of combined surgery of 2.2 mm microincision phacoemulsification and 23-gauge transconjunctival sutureless vitrectomy for macular hole retinal detachment in high myopia.Methods A retrospective case series study.Fifty-five eyes of 53 patients with macular hole retinal detachment (MHRD) in high myopia underwent 2.2 mm microincision phacoemulsification combined with 23-gauge vitreoretinal surgery.Postoperatively,the intraocular pressure,best-corrected visual acuity (BCVA),the rate of macular hole closure and retinal reattachment were observed.Results High intraocular pressure (IOP) after surgery were found in 18 eyes accounting for 32.73％.IOP was controlled with drug in 14 eyes,and after silicone oil removal in 2 eyes,and were controlled by trabeculectomy in 2 eyes.BCVA improved in 53 eyes and remained unchanged in 2 eyes.The difference between preoperative and postoperative BCVA was statistically significant(x2 =39.65,P =0.00).The rates of macular hole closure and retina reattachment were 94.55％ and 96.36％ respectively.Conclusion Combined mini-invasive surgery of anterior and posterior segment is effective on macular hole retinal detachment in high myopia.
