应用PFCL和内界膜剥离治疗黄斑裂孔伴视网膜脱离(英文)  

PFCL and ILM peeling in macular hole with retinal detachment

作　　者：Nazimul Hussain Anjli Hussain Sundaram Natarajan 

机构地区：[1]印度海得拉巴L.V.普拉沙德眼科研究所

出　　处：《国际眼科杂志》2005年第2期217-220,共4页International Eye Science

摘　　要：目的:探讨在对黄斑裂孔伴视网膜脱离眼进行内界膜剥离中使用PFCL(过氟化碳液体)的手术技巧和手术效果。方法:本研究包括在2001-12/2002-10 8 例(8眼)诊断为完全视网膜脱离伴黄斑裂孔患者,年龄13～65(平均39)岁,男女比例5∶3,近视组和非近视组各4 眼。对患者施行玻璃体切除术、ICG染色内界膜、手术中用PFCL 使视网膜变平、内界膜剥离、气液交换以及在裂孔外围行眼内激光手术,并使用硅油或C3F8 填充。结果:随访6～9(平均6.5)mo。非近视眼组随访结束时,3 眼(75%)黄斑裂孔完全封闭,1 眼(25%)裂孔变小,边缘变平。近视眼组4 眼在随访结束时黄斑裂孔全部成功封闭。两组对照,在随访结束时,黄斑裂孔完全封闭为7 眼(88%),未封闭但边缘变平1 眼(12%)。结论:使用PFCL 对于黄斑裂孔伴视网膜脱离眼行内界膜剥离非常有意义。· AIM: To demonstrate the operative technique and surgical outcome of using perfluorocarbon liquids (PFCL) in internal limiting membrane (ILM) peeling of eyeswith macular hole associated with retinal detachment.· METHODS: The study consists of 8 consecutive eyes of 8 patients diagnosed tohave total retinal detachment (RD) with macular hole between December 2001 and October 2002.The age ranged from 13 to 65 years (mean 39 years). The male femaleratio was 5:3. Four eyes were in Non-myopic Group and 4 eyes in Myopic Group. The patients underwent vitrectomy, ICG dye to stain the ILM, PFCL to flatten the retina intraoperatively, ILM peeling, fluid air exchange and endolaser was performed around the peripheral breaks. Tamponade with either silicone oil or C3F8 wasused.· RESULTS: The follow-up ranged from 6 to 9mo (mean 6.5mo). In Non-myopic Group. Macular hole was completely closed at the end of follow-up in 3 eyes (75%) anddecreased size with flat edge in 1 eye (25%). In Myopic Group. All 4 eyes had successful closure of macular hole at the end of the follow-up. Comparing the groups, complete closure of macular hole was achieved in 7 eyes (88%) and open holewith flat edge was seen in 1 eye (12%) at the end of follow-up.· CONCLUSION: Using PFCL is helpful in the peeling of ILM for macular hole associated with retinal detachment.·

关 键 词：视网膜脱离 内界膜剥离 黄斑裂孔 治疗 过氟化碳液体 玻璃体切除术 ICG染色 手术效果 手术技巧 视网膜变 激光手术 气液交换 C3F8 近视眼 全封闭 随访 患者 平均 

分 类 号：R774[医药卫生—眼科]