眼科新进展2017，Vol.37Issue(3)：248-250,3.DOI:10.13389/j.cnki.rao.2017.0062
玻璃体切割手术治疗增生型糖尿病视网膜病变的疗效观察
Effects of vitrectomy on proliferative diabetic retinopathy
摘要
Abstract
Objective To evaluation clinical efficacy and complications characteristics of vitrectomy on type 1 diabetes of diabetic retinopathy.Methods This was a retrospective review study.From January 2010 to January 2016,18 cases (28 eyes) under the age of 30 diagnosed as type 1 diabetes of diabetic retinopathy were treated in our hospital.All the patients were performed vitrectomy.The postoperative visual acuity and complications in and after operation were observed.Results The follow-upperiod was 6-72 months with the average of 43.0 months.Postoperative visual acuity improved or remained unchanged in 23 eyes (82.1％),and decreased in 5 eyes(17.9％).Our primary anatomic success rate was 92.3％.Complication in operation was iatrogenic retinal tear in 3 eyes.Postoperative complications consisted of anterior chamber fibrin exudation in 9 eyes,hyphema in 5 eyes,recurrent vitreous hemorrhage in 2 eyes,retinal detachment in 3 eyes,rubeosis of iris in 5 eyes and neovascular glaucoma in 4 eye.Conclusion For young patients of type 1 proliferative diabetic retinopathy,vitrectomy can restore retinal anatomical structure and function.Panrentinal photocoagulation and preoperative anti-VEGF injections in vitreous is necessary with serious neovascularization-related complications.关键词
玻璃体切割手术/1型糖尿病/增生型糖尿病视网膜病变Key words
vitrectomy/type 1 diabetes mellitus/proliferative diabetic retinopathy分类
医药卫生引用本文复制引用
石兴东,李文博,马腾,胡博杰,李筱荣..玻璃体切割手术治疗增生型糖尿病视网膜病变的疗效观察[J].眼科新进展,2017,37(3):248-250,3.基金项目
新疆维吾尔自治区自然科学基金资助(编号:20131801-11)Natural Science Foundation of Xinjiang Uygur Autonomous Region (No:2013180111) （编号:20131801-11）
