眼科新进展2000,Vol.20Issue(6):430-431,2.
黄斑裂孔玻璃体手术
Vitreous surgery for macular holes
摘要
Abstract
Objective To review the anatomic and visual outcomes of a series of patients with macular holes who underwent vitreous surgery without adjunctive therapy.Methods We performed a retrospective review of 16 patients who underwent vitrectomy, fluid-gas exchange and perflu oropropane(C3 F8) gas temponade for 14 eyes with idiopathic and 2 eyes with traumatic macular holes.Results Anatomical closure of the macular holes was achieved in 15(93%) of 16 eyes with an average follow-up of 7 months. Only one eye needed performing second surgery. Three(19%) eyes achieved postoperative visual acuity of 0.4, four (25%)eyes 0.2~0.3,and nine(56%)eyes 0.1 or worse. Conclusions Vitreous surgery without adjunctive therapy with intraocular gas tamponade and postoperative posturing is a well tolerated and effective intervention for idiopathic or some traumatic macular holes. Anatomical closure of the macular hole is associated with a significant improvement in visual acuity in most eyes.关键词
玻璃体切割/黄斑裂孔/全氟丙烷/气体填充Key words
vitrectomy/macular hole/perfluoropropane (C3 F8)/gas tamponade分类
医药卫生引用本文复制引用
黄红深,孙健,胡桂荣,郑金莲..黄斑裂孔玻璃体手术[J].眼科新进展,2000,20(6):430-431,2.