国际眼科杂志
國際眼科雜誌
국제안과잡지
International Eye Science
2015年
12期
2164-2166
,共3页
特发性黄斑裂孔%内界膜%吲哚菁绿
特髮性黃斑裂孔%內界膜%吲哚菁綠
특발성황반렬공%내계막%신타정록
idiopathic macular hole%internal limiting membrane%indocyanine green
目的：评估改良吲哚菁绿视网膜内界膜染色法在特发性黄斑裂孔手术中的应用效果。<br> 方法：回顾性分析2013－03／2014－12因特发性黄斑裂孔在我院行23 G玻璃体切割联合视网膜内界膜剥除并注气术的连续患者27例27眼的病历资料，术中将5mg／mL吲哚菁绿、50％高糖溶液和黏弹剂适量混合后做为染色剂行黄斑裂孔孔周乳斑束间内界膜局部染色，观察其在术中的应用效果。<br> 结果：术中局部染色后的内界膜着染成淡绿色，可视性好，有助于辨识和撕除内界膜，撕除孔周内界膜范围2 PD ×2PD，术后黄斑裂孔闭合24眼（88．9％），黄斑裂孔未完全闭合3眼（11．1％），裂孔直径均较术前有明显缩小，其中1例1眼患者术后2 mo内接受再次手术，采用扩大内界膜剥除范围术后裂孔闭合。随访6～15mo，所有患者视力均较术前提高。<br> 结论：改良吲哚菁绿局部着染内界膜的方法可以减少术中吲哚菁绿在眼内的弥散和残留，可降低吲哚菁绿对黄斑裂孔区裸露色素上皮、视网膜和视神经的毒性作用。
目的：評估改良吲哚菁綠視網膜內界膜染色法在特髮性黃斑裂孔手術中的應用效果。<br> 方法：迴顧性分析2013－03／2014－12因特髮性黃斑裂孔在我院行23 G玻璃體切割聯閤視網膜內界膜剝除併註氣術的連續患者27例27眼的病歷資料，術中將5mg／mL吲哚菁綠、50％高糖溶液和黏彈劑適量混閤後做為染色劑行黃斑裂孔孔週乳斑束間內界膜跼部染色，觀察其在術中的應用效果。<br> 結果：術中跼部染色後的內界膜著染成淡綠色，可視性好，有助于辨識和撕除內界膜，撕除孔週內界膜範圍2 PD ×2PD，術後黃斑裂孔閉閤24眼（88．9％），黃斑裂孔未完全閉閤3眼（11．1％），裂孔直徑均較術前有明顯縮小，其中1例1眼患者術後2 mo內接受再次手術，採用擴大內界膜剝除範圍術後裂孔閉閤。隨訪6～15mo，所有患者視力均較術前提高。<br> 結論：改良吲哚菁綠跼部著染內界膜的方法可以減少術中吲哚菁綠在眼內的瀰散和殘留，可降低吲哚菁綠對黃斑裂孔區裸露色素上皮、視網膜和視神經的毒性作用。
목적：평고개량신타정록시망막내계막염색법재특발성황반렬공수술중적응용효과。<br> 방법：회고성분석2013－03／2014－12인특발성황반렬공재아원행23 G파리체절할연합시망막내계막박제병주기술적련속환자27례27안적병력자료，술중장5mg／mL신타정록、50％고당용액화점탄제괄량혼합후주위염색제행황반렬공공주유반속간내계막국부염색，관찰기재술중적응용효과。<br> 결과：술중국부염색후적내계막착염성담록색，가시성호，유조우변식화시제내계막，시제공주내계막범위2 PD ×2PD，술후황반렬공폐합24안（88．9％），황반렬공미완전폐합3안（11．1％），렬공직경균교술전유명현축소，기중1례1안환자술후2 mo내접수재차수술，채용확대내계막박제범위술후렬공폐합。수방6～15mo，소유환자시력균교술전제고。<br> 결론：개량신타정록국부착염내계막적방법가이감소술중신타정록재안내적미산화잔류，가강저신타정록대황반렬공구라로색소상피、시망막화시신경적독성작용。
? AIM: To evaluate the efficacy of modified staining technique of internal limiting membrane ( ILM ) with indocyanine green ( ICG ) in surgeries for idiopathic macular hole ( IMH) . <br> ? METHODS: Twenty -seven eyes of 27 consecutive patients with idiopathic macular hole in our hospital from March 2013 to December 2014 were retrospectively analyzed, which had undergone 23 gauge pars plana vitrectomy, ILM peeling and intraocular gas tamponade. ILM was stained around the IMH with a mixture of 5mg/ml indocyanine green, 50% hypertonic glucose and moderate viscoelastic. The application efficacy was observed. <br> ?RESULTS:The ICG-staining ILM showed viridescent with good visibility, which helped recognizing and peeling ILM.The range of peeling was about 2PD ×2PD.Macular hole was closed completely in 24 eyes ( 88.9%) postoperatively.Macular hole was closed partly in 3 eyes (11.1%) postoperatively, but shrank in diameter.It was worth mentioning that one eye among which showed macular hole closure completely after undergoing a second surgery with an expanding peeling 2mo after the first surgery.The visual acuity of all patients improved in 6~15mo follow-up. <br> ?CONCLUSION:The modified staining technique of ICG for ILM peeling surgery can reduce residual and diffusion of ICG in eyes, and reduce the toxicity of ICG to retina, exposed epithelia and optic nerve.
