国际眼科杂志
國際眼科雜誌
국제안과잡지
International Eye Science
2015年
11期
1996-1998
,共3页
玻璃体切除术%糖尿病视网膜病变%增殖性
玻璃體切除術%糖尿病視網膜病變%增殖性
파리체절제술%당뇨병시망막병변%증식성
vitrectomy%diabetic retinopathy%proliferative
目的：：回顾性分析玻璃体切除术治疗老年增殖性糖尿病视网膜病变( proliferative diabetic retinopathy,PDR)的疗效。方法：回顾性分析行玻璃体切除术治疗的老年PDR患者136例150眼,对手术要点、术后视力、手术并发症进行总结分析。结果：术后随访6~15mo,术后视力提高115眼(76.7%),视力不变23眼(15.3%),视力下降12眼(8.0%)；其中Ⅳ期视力提高56眼(82.3%),视力不变8眼(11.8%),视力下降4眼(5.9%)；Ⅴ期视力提高36眼(75.0%),视力不变8眼(16.7%),视力下降4眼(8.3%)；Ⅵ期视力提高22眼(64.7%),视力不变12眼(35.3%),视力下降0眼。患眼Ⅳ期、Ⅴ期术后视力改善程度明显好于Ⅵ期。结论：玻璃体切除术并发症少,能有效治疗PDR。
目的：：迴顧性分析玻璃體切除術治療老年增殖性糖尿病視網膜病變( proliferative diabetic retinopathy,PDR)的療效。方法：迴顧性分析行玻璃體切除術治療的老年PDR患者136例150眼,對手術要點、術後視力、手術併髮癥進行總結分析。結果：術後隨訪6~15mo,術後視力提高115眼(76.7%),視力不變23眼(15.3%),視力下降12眼(8.0%)；其中Ⅳ期視力提高56眼(82.3%),視力不變8眼(11.8%),視力下降4眼(5.9%)；Ⅴ期視力提高36眼(75.0%),視力不變8眼(16.7%),視力下降4眼(8.3%)；Ⅵ期視力提高22眼(64.7%),視力不變12眼(35.3%),視力下降0眼。患眼Ⅳ期、Ⅴ期術後視力改善程度明顯好于Ⅵ期。結論：玻璃體切除術併髮癥少,能有效治療PDR。
목적：：회고성분석파리체절제술치료노년증식성당뇨병시망막병변( proliferative diabetic retinopathy,PDR)적료효。방법：회고성분석행파리체절제술치료적노년PDR환자136례150안,대수술요점、술후시력、수술병발증진행총결분석。결과：술후수방6~15mo,술후시력제고115안(76.7%),시력불변23안(15.3%),시력하강12안(8.0%)；기중Ⅳ기시력제고56안(82.3%),시력불변8안(11.8%),시력하강4안(5.9%)；Ⅴ기시력제고36안(75.0%),시력불변8안(16.7%),시력하강4안(8.3%)；Ⅵ기시력제고22안(64.7%),시력불변12안(35.3%),시력하강0안。환안Ⅳ기、Ⅴ기술후시력개선정도명현호우Ⅵ기。결론：파리체절제술병발증소,능유효치료PDR。
Abstract?AlM:To evaluate the effect of vitrectomy on treating proliferative diabetic retinopathy ( PDR) in elderly.?METHODS:One hundred and thirty-six elder patients ( 150 eyes ) with PDR treated by vitrectomy were retrospectively analyzed, the postoperative visual acuity, complications and essential points during operations were analysed.?RESULTS:Postoperative follow-ups were 6 ~ 15mo. Visual acuity improved in 115 eyes (76. 7%),unchanged in 23 eyes (15. 3%) and decreased in 12 eyes (8. 0%). The patients whose eyes were in PDR phaseⅣhad their visual acuity improved in 56 eyes (82. 3%), unchanged in 8 eyes (11. 8%) and decreased in 4 eyes (5. 9%). The patients in phase V had their visual acuity improve in 36 eyes (75. 0%), unchanged in 8 eyes (16. 7%), and decreased in 4 eyes (8. 3%). Those in phase Ⅵ had their visual acuity improve in 22 eyes (64. 7%), unchanged in 12 eyes (35. 3%) and decreased in 0 eyes. Visual acuity of the eyes in phase Ⅳ and V improved significantly than those in phaseⅥ after vitrectomy.? CONCLUSlON: Vitrectomy has fewer complications, which is effective for PDR.
