玻璃体黄斑牵引综合征的手术疗效探讨  

Analysis of the effect of surgical management on vitreo macular traction syndrome

作　　者：姜燕荣[1] 马昱[1] 黎晓新[1] 

机构地区：[1]北京大学人民医院眼科中心,100044

出　　处：《中华眼科杂志》2004年第10期670-673,共4页Chinese Journal of Ophthalmology

摘　　要：目的　探讨玻璃体黄斑牵引综合征患者行玻璃体手术治疗的临床效果。方法　对1998年 7月至 2 0 0 2年 1月连续住院行玻璃体手术治疗的 16例 (16只眼 )玻璃体黄斑牵引综合征患者的临床资料进行回顾性分析。结果　 16例患者均经手术解除玻璃体对黄斑部的牵引 ,术后 3例失访 ,13例随访资料完整。术后 10只眼视力提高 ,2只眼视力无改善 ,1只眼视力减退。其中视力≥ 0 1者由术前的 6只眼增至术后的 8只眼 ;术前视力≤ 0 0 2者有 5只眼 ,术后视力均有不同程度的提高。2只眼术中发生黄斑裂孔 ,1只眼术后白内障形成 ,1只眼术后 3个月发现黄斑板层裂孔 ,1只眼术后 3个月出现黄斑皱褶。结论　玻璃体手术能够有效解除玻璃体对黄斑部的牵引 ,阻止患者视力进一步下降 ,并提高部分患者的视力。Objective To evaluate the efficacy of vitreous surgery for the patients with vi treomacular traction syndrome. Methods The 16 consecutive patients (16 eyes) who underwent vitrectomy for vitreomacular traction syndrome during July 1998 and January 2002 were retrospectively analyz ed. Results Vitreomacular traction was released successfully after vitrectomy, a better visu al acuity was obtained in 10 eyes, the number of patients whose visual acuity was below 0.1 was increased from 6 to 8. In 5 cases with the visual acuity was 0.02 or worse before surgery, however their visual acuity was improved in som e degree. Complications of vitreous surgery included iatrogenic macular hole ( 2 eyes), postoperative cataract in (1 eye), partial-thickness macular hole (1 eye), and macular pucker (1 eye), both of last two complications was demonstrate d three months later. Conclusion Pars plana vitrectomy c an relieve macular traction, improve visual acuity and prevent a further decease of visual acuity.(Chin J Ophthalmol,2004, 40:670-673 )

关 键 词：黄斑 牵引 术后 患者 眼视力 治疗 综合征 有效解 连续 层裂 

分 类 号：R779.6[医药卫生—眼科]