实用医学杂志2017，Vol.33Issue(19)：3220-3224,5.DOI:10.3969/j.issn.1006-5725.2017.19.017
玻璃体切割联合晶状体置换治疗中青年高度近视性黄斑劈裂的疗效
Analysis of minimally invasive vitrectomy combined with lens replacement for myopic foveoschisis in young and middle-aged
摘要
Abstract
Objective To investigate the clinical effects of minimally invasive vitrectomy combined with cataract surgery for myopic foveoschisis in young and middle-aged. Methods Sixty myopic eyes with myopic fo-veoschisis diagnosed from September 2013 to October 2015 in our hospital were included in the study. According to different surgical methods ,patients were divided into two groups:combined operation group(vitrectomy combined with lens replacement surgery,30 eyes)and staged operation group(simple vitrectomy group,30 eyes). Cataract surgery were performed according to the opacity of lens. All the patients were followed up for 6~12 months. Reop-eration rate of staged operation group ,the best corrected visual acuity(BCVA),the distant and near visual acuity and retinal reattachment rate of each group were observed. Every patient was interviewed with a questionnaire about visual quality at 6th month after surgery. Results 27 eyes developed lens opacity after operation(90%)in staged operation group,among them,21 eyes underwent secondary cataract surgery(70%). The BCVA recovery,postop-erative distant vision,and preoperative and postoperative distant vision difference in the combined operation group were significantly higher than those in the staged group(P<0.05). There were no significant differences in macu-lar retinal condition and retinal reattachment rate between the two groups(P > 0.05). Six months after operation, the visual quality of the combined operation group was significantly better than that of the staged group(t=-3.95, P = 0.00). In the combined surgery group,the scores of distant vision,stereopsis and visual fatigue were higher than those of staged operation group. The score of dry eye and night glare in staged operation group was higher than that in combined operation group(all P<0.05). Conclusions Vitrectomy combined with intraocular lens replace-ment for myopic foveoschisis in young and middle-aged people can avoid second operations and improves the visual function,proving to be a feasible operation in clinic.关键词
微创玻璃体切割/晶状体置换/高度近视性黄斑劈裂/光学相干断层扫描/视觉质量调查问卷Key words
minimally invasive vitrectomy/cataract surgery/high myopia/optical coherence tomog-raphy/vsual quality questionnaire引用本文复制引用
王帅,黄俊,游志鹏,毛新帮,谢琳..玻璃体切割联合晶状体置换治疗中青年高度近视性黄斑劈裂的疗效[J].实用医学杂志,2017,33(19):3220-3224,5.基金项目
江西省自然科学基金重点项目(编号:20152ACB 21025) （编号:20152ACB 21025）
江西省科技厅重点项目(编号:2010BSA15800) （编号:2010BSA15800）
国家自然科学基金(编号:81460088,81160123) （编号:81460088,81160123）
