国际眼科杂志2017，Vol.17Issue(5)：989-991,3.DOI:10.3980/j.issn.1672-5123.2017.5.49
ILMP及玻璃体腔注药联合硅油填充治疗高度近视MHRD合并脉络膜脱离
Efficacy of internal limiting membrane peeling and vitrectomy with triamcinolone acetonide and silicone oil tamponade for the treatment of retinal detachment with choroidal detachment attributable to macular hole in high myopia
温晓英 1张海燕 2张月玲1
作者信息
- 1. 071000 中国河北省保定市第一中心医院东院眼二科
- 2. 274700 中国山东省郓城县诚信医院眼科
- 折叠
摘要
Abstract
AIM:To evaluate the effects of internal limiting membrane peeling and vitrectomy with triamcinolone acetonide and silicone oil tamponade for the treatment of retinal detachment with choroidal detachment attributable to macular hole in patients with high myopia.METHODS:Totally 28 eyes of 28 patients with retinal detachment associated with choroidal detachment attributable to macular hole in patients with high myopia,were treated with pars plana vitrectomy (PPV) and indocyanine green (ICG) assisted internal limiting membrane peeling (ILMP) and silicone oil tamponade.All patients had been followed up for 6-24mo.The reset rate of retinal detachment and the vision recovery,complications were analyzed.RESULTS:All patients had been followed up 6-24mo.The mean LogMAR CVA was 1.01±0.31 after surgery,which significantly improved compared to that before surgery (t=-39.28,P<0.01).Of these 28 eyes,macular hole closed in 19 eyes(68%),macular hole did not close in 9 eyes(32%),retinal reattached in 26 eyes (93%),high intraocular pressure appeared in 6 eyes.CONCLUSION:For the treatment of retinal detachment associated with choroidal detachment attributable to macular hole in patients with high myopia,PPV combined with ILMP and silicone oil tamponade and triamcinolone acetonide show a high retinal reattachment rate,which can arrest the regeneration of proliferative vitreoretinopathy.关键词
高度近视眼黄斑裂孔性视网膜脱离合并脉络膜脱离/内界膜剥除/玻璃体切除术/曲安奈德Key words
retinal detachment associated with choroidal detachment attributable to macular hole in high myopia/internal limiting membrane peeling/pars plana vitrectomy/triamcinolone acetonide引用本文复制引用
温晓英,张海燕,张月玲..ILMP及玻璃体腔注药联合硅油填充治疗高度近视MHRD合并脉络膜脱离[J].国际眼科杂志,2017,17(5):989-991,3.
