临床眼科杂志2018，Vol.26Issue(1)：10-13,4.DOI:10.3969/j.issn.1006-8422.2018.01.003
玻璃体切除联合内界膜翻转覆盖治疗特发性黄斑裂孔的临床疗效观察
Clinical outcomes of PPV and inverted internal limiting membrane flap technique in the treatment of idiopath-ic macular hole
摘要
Abstract
Objective To observe the anatomical and visual outcomes of idiopathic macular holes(IMH)treated with pars plana vitrectomy(PPV)and inverted internal limiting membrane(ILM)flap technique.Methods Thirty-one IMH patients(31 eyes),8 males and 23 females,were included.The age ranged from 42 to 82 with a mean of 65.68 ± 8.39 years.All patients were treated with PPV and ILM flap technique.Best correct visual acuity(BCVA),slit-lamp ex-amination,ultra-wide-field fundus photograph and spectral optical coherence tomography(SD-OCT)were performed before the surgery and 5 days,2 weeks,1,3, and 6 months after the surgery.Results The closure rate of IMHs was 100%. Postoperative BCVA significantly improved(t =8.50,P <0.05).U-type closure was found in majority of the patients( n =30)and V-type closure was found in 1 patient.ILM flap attached to retinal completely in 29 eyes,and bridged IMH in 2 eyes.The diameter of ellipsoid zone gradually decreased postoperatively.Conclusions Vitrectomy combined with invert-ed ILM flap technique for the treatment of IMH can achieve a higher closure rate and better postoperatively visual outcomes. It is a safe and effective surgical method for the treatment of IMH.关键词
特发性黄斑裂孔/内界膜翻转覆盖/相光干断层扫描/椭圆体区Key words
Idiopathic macular hole/Inverted internal limiting membrane flap technique/OCT/Ellipsoid zone引用本文复制引用
张啸,贺涛,程谷萌,邢怡桥..玻璃体切除联合内界膜翻转覆盖治疗特发性黄斑裂孔的临床疗效观察[J].临床眼科杂志,2018,26(1):10-13,4.基金项目
国家临床重点专科基金资助项目［编号：卫办医政函(2012)649号］ （2012）
