CAJ | 학술논문

目的观察23-G微创玻璃体切割术治疗特发性黄斑前膜的临床效果.方法选取2010-01/2014-01在我院治疗特发黄斑视网膜前膜患者21例23眼,采用23-G玻璃体切割系统,行玻璃体切割、剥膜及气体填充.对患者行1a~4a的术后随访观察,进行疗效评价与分析.结果 23-G微创玻璃体切割术治疗特发黄斑视网膜前膜21 例23 眼,黄斑视网膜前膜消失,视力较术前有不同程度的提高,视物变形消失或减轻,OCT 提示黄斑前膜消失.5眼在剥膜处视网膜表面点状非持续性出血;12/96个切口渗漏,需缝合.结论 23-G 微创玻璃体切割、剥膜及气体填充术是治疗特发性黄斑视网膜前膜的一种先进有效的方法,在患者的视功能未造成严重的损害前,适时进行手术治疗,可以提高患者的视觉质量和生活质量.
목적 관찰23-G미창파리체절할술치료특발성황반전막적림상효과.방법 선취2010-01/2014-01재아원치료특발황반시망막전막환자21례23안,채용23-G파리체절할계통,행파리체절할、박막급기체전충.대환자행1a~4a적술후수방관찰,진행료효평개여분석.결과 23-G미창파리체절할술치료특발황반시망막전막21 례23 안,황반시망막전막소실,시력교술전유불동정도적제고,시물변형소실혹감경,OCT 제시황반전막소실.5안재박막처시망막표면점상비지속성출혈;12/96개절구삼루,수봉합.결론 23-G 미창파리체절할、박막급기체전충술시치료특발성황반시망막전막적일충선진유효적방법,재환자적시공능미조성엄중적손해전,괄시진행수술치료,가이제고환자적시각질량화생활질량.
Objective To observe the clinical effect of 23G -minimallyinvasive vitrectomy for idiopathic macular epiretinal membrane.Methods Totally 23 eyes of 21 cases of idiopathic macular epiretinal membrane were performed vitrectomy,membrane peeling and gas tamponade with 23 -G minimally invasive vitrectomy from January 2010 to Janu-ary 2014 years in our hospital.The follow-up time was 6 months to 4 years.The operation effect was analyzed.Results 21 cases (23 eyes) of idiopathic macular epiretinal membrane were performed 23G-minimally invasivevitrectomy,macular epiretinal membrane disappeared,vision had different degrees of improvement than preoperative,metamorphopsia was disappeared or reduced,the macular epiretinal membranewas disappeared showed by OCT.There wase minor hemorrhage on inner retina surface in 5 eyes and no clinically signifi-cant complications were encountered.There were 12/96 puncture 1eakage and closure incision.Conclusions 23 -G minimally invasive vitrectomy is asafe and effective method for the treatment of macularepiretinal membrane.It can im-prove the visual qualityand the quality of life in patients prior to serious damageof visual function,and should be per-formed early.