黄斑部脉络膜新生血管膜取出术  

Surgical removal of subfoveal choroidal neovascular membranes

作　　者：刘蓓[1] 小椋祐一郎 

机构地区：[1]天津市眼科医院,300020 [2]日本名古屋市立大学眼科

出　　处：《眼科新进展》2002年第1期51-52,共2页Recent Advances in Ophthalmology

摘　　要：目的　探讨玻璃体视网膜手术治疗脉络膜新生血管膜的临床效果。方法　对 3 0例 3 1眼行玻璃体切割、脉络膜新生血管膜取出及气 -液交换术。其中老年性黄斑变性 15例、近视性 10例、特发性 2例、血管样条纹病变 2例和真菌性眼内炎 1例 2眼。结果　随访 3～ 18个月 ,视力增加 3行以上者 5眼(16% ) ,视力稳定在± 2行以内者 2 5眼 (81% ) ,视力下降 3行以上者 1眼(3 % )。术后视力提高的 5眼中 ,中心凹处均有色素上皮残留。结论　脉络膜新生血管膜取出术可稳定或改善大部分脉络膜新生血管膜患者的视力 ,视力预后与色素上皮的损伤部位有关。Objective To investigate the efficacy of surgical excision of subfoveal choroidal neovascular membranes(NVM). Methods Retrospective review of thirty-one eyes of 30 patients with subfoveal NVM were treated by vitrectomy, excision of the choroidal neovascular complex and air-fluid exchange. Diagnosis included age-related macular degeneration (15 eyes), myopia(10 eyes), idiopathic (2 eyes), angioid streaks (2 eyes) and fungus endophthalmitis(2 eyes). Results All 31 eyes were followed up for 3~18 months. Final visual acuity was improved 3 or more lines in 5 eyes (16%), stable within ±2 lines in 25 eyes (81%), and 3 or more lines worse in 1 eye (3%). The subfoveal area remains RPE in 5 eyes with vision was improved. Conclusions After surgical excision of NVM, vision is improved or stabilized in the majority of patients. The visual prognosis relates to lesion of RPE location.

关 键 词：脉络膜新生血管膜 黄斑 视网膜色素上皮 

分 类 号：R774.5[医药卫生—眼科]