国际眼科杂志
國際眼科雜誌
국제안과잡지
International Eye Science
2015年
10期
1775-1777
,共3页
硅油填充眼%黄斑下积液%硅油取出%内界膜剥除
硅油填充眼%黃斑下積液%硅油取齣%內界膜剝除
규유전충안%황반하적액%규유취출%내계막박제
silicone oil-filled eye%submacular fluid%silicone oil removal%internal limiting membrane peeling
目的：分析硅油填充眼黄斑下积液行硅油取出联合视网膜内界膜剥除、C3 F8填充术后的临床疗效。<br> 方法：分析2007-01/2013-12于我院行玻璃体切除联合硅油填充术后出现黄斑下积液6 mo的患者31例31眼,根据手术方式分为A、B组,A组行硅油取出术,B组行硅油取出联合内界膜剥除、C3 F8填充术,手术后随访时间为6~12(平均为8.33±1.45) mo,对比分析术后3、6mo两组的LogMAR最佳矫正视力提高率、黄斑平均神经上皮层厚度。<br> 结果：术后3 mo 比较各组平均 LogMAR 最佳矫正视力( best-corrected visual acuity,BCVA)均较术前有提高,差异有统计学意义(t=2.326、2.577,P<0.05),A组和B组LogMAR BCVA提高率比较,差异有统计学意义(字2=5.473,P<0.05)；术后6mo比较各组平均LogMAR BCVA均较术前有提高,差异有统计学意义( t=4.216、3.801, P<0.05),A组和B组LogMAR BCVA提高率比较,差异有统计学意义(字2=4.210,P<0.05)。术后各组黄斑平均神经上皮层厚度变薄。<br> 结论：硅油取出联合视网膜内界膜剥除、C3 F8填充术是治疗硅油填充眼持续性黄斑下积液的有效方法。
目的：分析硅油填充眼黃斑下積液行硅油取齣聯閤視網膜內界膜剝除、C3 F8填充術後的臨床療效。<br> 方法：分析2007-01/2013-12于我院行玻璃體切除聯閤硅油填充術後齣現黃斑下積液6 mo的患者31例31眼,根據手術方式分為A、B組,A組行硅油取齣術,B組行硅油取齣聯閤內界膜剝除、C3 F8填充術,手術後隨訪時間為6~12(平均為8.33±1.45) mo,對比分析術後3、6mo兩組的LogMAR最佳矯正視力提高率、黃斑平均神經上皮層厚度。<br> 結果：術後3 mo 比較各組平均 LogMAR 最佳矯正視力( best-corrected visual acuity,BCVA)均較術前有提高,差異有統計學意義(t=2.326、2.577,P<0.05),A組和B組LogMAR BCVA提高率比較,差異有統計學意義(字2=5.473,P<0.05)；術後6mo比較各組平均LogMAR BCVA均較術前有提高,差異有統計學意義( t=4.216、3.801, P<0.05),A組和B組LogMAR BCVA提高率比較,差異有統計學意義(字2=4.210,P<0.05)。術後各組黃斑平均神經上皮層厚度變薄。<br> 結論：硅油取齣聯閤視網膜內界膜剝除、C3 F8填充術是治療硅油填充眼持續性黃斑下積液的有效方法。
목적：분석규유전충안황반하적액행규유취출연합시망막내계막박제、C3 F8전충술후적림상료효。<br> 방법：분석2007-01/2013-12우아원행파리체절제연합규유전충술후출현황반하적액6 mo적환자31례31안,근거수술방식분위A、B조,A조행규유취출술,B조행규유취출연합내계막박제、C3 F8전충술,수술후수방시간위6~12(평균위8.33±1.45) mo,대비분석술후3、6mo량조적LogMAR최가교정시력제고솔、황반평균신경상피층후도。<br> 결과：술후3 mo 비교각조평균 LogMAR 최가교정시력( best-corrected visual acuity,BCVA)균교술전유제고,차이유통계학의의(t=2.326、2.577,P<0.05),A조화B조LogMAR BCVA제고솔비교,차이유통계학의의(자2=5.473,P<0.05)；술후6mo비교각조평균LogMAR BCVA균교술전유제고,차이유통계학의의( t=4.216、3.801, P<0.05),A조화B조LogMAR BCVA제고솔비교,차이유통계학의의(자2=4.210,P<0.05)。술후각조황반평균신경상피층후도변박。<br> 결론：규유취출연합시망막내계막박제、C3 F8전충술시치료규유전충안지속성황반하적액적유효방법。
AIM:To observe the clinical efficacy of internal limiting membrane ( ILM) peeling combined silicone oil removal and filled with C3 F8 on silicone oil - filled eye with submacular fluid. <br> METHODS: Thirty - one patients ( 31 eyes ) with persistent submacular fluid after pars plana vitrectomy combined with silicone oil filled in our hospital from January 2007 to December 2013. According to operation mode, those patients were divided into group A ( silicone oil removal ) and group B ( ILM peeling combined silicone oil removal and C3 F8 filled) . Follow-up time after surgery was 6 ~12 (mean 8. 33±1.45)mo. The LogMAR best - corrected visual acuity ( BCVA ) and the neuroepithelial thickness of macular fovea was observed at postoperative 3, 6mo. <br> RESULTS: Postoperative 3mo LogMAR BCVA was improved in each group compared to preoperative LogMAR BCVA, the difference was significant ( t=2. 326, 2. 577, P < 0. 05 ). the difference on LogMAR BCVA improvement rate of group A and B had statistical significance (χ2= 5. 473, P<0. 05). Postoperative 6mo LogMAR BCVA was improved in each group compared to preoperative LogMAR BCVA, the difference was significant (t=4. 216, 3. 801; P<0. 05). The difference on LogMAR BCVA improvement rate of group A and B had significance (χ2= 4. 210, P<0. 05 ). Postoperative the neuroepithelial thickness of macular fovea was decreased in each group compared to that of preoperative <br> CONCLUSION: ILM peeling combined silicone oil removal and C3 F8 filled is an effective method in treatment of silicone oil - filled eye with persistent submacular fluid.
