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
184-187
,共4页
视网膜脱离,黄斑孔,外伤性%玻璃体切除%内界膜剥离
視網膜脫離,黃斑孔,外傷性%玻璃體切除%內界膜剝離
시망막탈리,황반공,외상성%파리체절제%내계막박리
Retinal detachment,macular hole,traumatic%Vitrectomy%Peeling,internal limiting membrane
目的 观察玻璃体切除联合内界膜剥离治疗外伤性黄斑孔性视网膜脱离的疗效及对视功能的影响.方法 回顾性分析30例(30只眼)外伤性黄斑孔性视网膜脱离行玻璃体切除联合内界膜剥离手术的临床资料.观察术后视力、黄斑区OCT及多焦视网膜电图(mfERG)的变化.随访12个月.结果 术后视网膜解剖复位率80.00％,术后视力提高者占83.3％.术后mfERG显示N1波2～4环的反应密度及P1波2～5环的反应密度均高于术前,N1波潜伏期在4环、P1波潜伏期在3～5环与术前相比差异有统计学意义(P＜0.05).结论 玻璃体切除联合内界膜剥离手术治疗外伤性黄斑孔性视网膜脱离的疗效佳,并发症少,可以明显改善视功能.
目的 觀察玻璃體切除聯閤內界膜剝離治療外傷性黃斑孔性視網膜脫離的療效及對視功能的影響.方法 迴顧性分析30例(30隻眼)外傷性黃斑孔性視網膜脫離行玻璃體切除聯閤內界膜剝離手術的臨床資料.觀察術後視力、黃斑區OCT及多焦視網膜電圖(mfERG)的變化.隨訪12箇月.結果 術後視網膜解剖複位率80.00％,術後視力提高者佔83.3％.術後mfERG顯示N1波2～4環的反應密度及P1波2～5環的反應密度均高于術前,N1波潛伏期在4環、P1波潛伏期在3～5環與術前相比差異有統計學意義(P＜0.05).結論 玻璃體切除聯閤內界膜剝離手術治療外傷性黃斑孔性視網膜脫離的療效佳,併髮癥少,可以明顯改善視功能.
목적 관찰파리체절제연합내계막박리치료외상성황반공성시망막탈리적료효급대시공능적영향.방법 회고성분석30례(30지안)외상성황반공성시망막탈리행파리체절제연합내계막박리수술적림상자료.관찰술후시력、황반구OCT급다초시망막전도(mfERG)적변화.수방12개월.결과 술후시망막해부복위솔80.00％,술후시력제고자점83.3％.술후mfERG현시N1파2～4배적반응밀도급P1파2～5배적반응밀도균고우술전,N1파잠복기재4배、P1파잠복기재3～5배여술전상비차이유통계학의의(P＜0.05).결론 파리체절제연합내계막박리수술치료외상성황반공성시망막탈리적료효가,병발증소,가이명현개선시공능.
Objective To observe the clinical effect and visual function of vitrectomy combined with internal limiting membrane peeling for traumatic macular hole retinal detachment.Methods The clinical data of 30 eyes of 30 patients with traumatic macular hole retinal detachment who had undergone vitrectomy combined with internal limiting membrane peeling were analyzed retrospectively.The visual acuity and changes of macular area optical coherence tomonraphy (OCT) and multifocal electroretinogram (mfERG) in pre-operation and post-operation were observed.The follow-up time was 12 months.Results The retinal reattachment rate after surgery was 80.00％.Most of the patients achieved a better final visual acuity.Mf-ERG showed the response densities of ring 2,ring 3,and ring 4 areas of N1 wave and ring 2,ring 3,ring 4 and ring 5 areas of P1 wave in postoperative group were significantly increased while the latencies of ring 4 of N1 wave and the latencies of ring 3,ring 4 and ring 5 of P1 wave were significandy different with that of preoperative group (P ＜ 0.05).Conclusion Vitrectomy combined with internal limiting membrane peeling for traumatic macular hole retinal detachment is effective with fewer complications and can significantly improve visual function.
