国际眼科杂志2017，Vol.17Issue(3)：508-510,3.DOI:10.3980/j.issn.1672-5123.2017.3.30
玻璃体切割术联合内界膜剥离术治疗黄斑裂孔性视网膜脱落
Pars plana vitrectomy combined with internal limiting membrane peeling for macular hole retinal detachment
林静娜 1辜智强 1周悦 1卢燕辉1
作者信息
- 1. 363000 中国福建省漳州市解放军175医院眼科
- 折叠
摘要
Abstract
· AIM: To compare the effect of pars plana vitrectomy ( PPV) combined with internal limiting membrane peeling ( ILMP) for macular hole retinal detachment ( MHRD) . <br> · METHODS: Totally 78 patients with MHRD from December 2013 to December 2015 in our hospital were randomly divided into control group(39 patients 43 eyes) and experimental group ( 39 patients 40 eyes ) . The control group was treated with PPV, experimental group with PPV combined with ILMP. We observed the therapeutic effect and recorded the occurrence of postoperative complications. After 6mo follow-up, the vision improvement of the two groups were compared as the average of the best corrected visual acuity ( BCVA ) before and at 3, 6mo after surgery. <br> · RESULTS: The reattachment rate of experimental group was 92%( 37/40 ) with significant difference compared with control group (x2=6. 882, P=0. 009). The improvement of visual acuity in the experimental group was better than that in the control group (x2=14. 216, P<0. 001). The postoperative BCVA of the experimental group at 3 and 6mo was significantly higher than that of the control group ( t =7. 119, P<0. 001; t=10. 573, P<0. 001). There were less patients with the situation of increased intraocular pressure and visual field defect (x2=11. 323, P=0. 001;x2=8. 573, P=0. 003). The lens opacity occurrence rate had not significantly changed (x2=1. 835, P=0. 176). <br> · CONCLUSION: MHRD patients treated with PPV combined with ILMP recovered better and the incidence of complications was lower. It can improve the patient's retinal restoration effect more.关键词
黄斑裂孔性视网膜脱落/玻璃体切割术/内界膜剥离术/视网膜复位Key words
macular hole retinal detachment/pars plana vitrectomy/internal limiting membrane peeling/retinal reattachment引用本文复制引用
林静娜,辜智强,周悦,卢燕辉..玻璃体切割术联合内界膜剥离术治疗黄斑裂孔性视网膜脱落[J].国际眼科杂志,2017,17(3):508-510,3.
