玻璃体切割术后残留视网膜下膜的形态研究  

The morphological investigation of residual subretinal membranes after vitrectomy

作　　者：郑钦象[1] 李文生[1] 吴荣瀚[1] 许立帅[1] 赵立娟[1] 

机构地区：[1]温州医学院附属眼视光医院,浙江温州325027

出　　处：《山东医药》2008年第19期34-35,共2页Shandong Medical Journal

基　　金：浙江省自然科学基金项目资助(Y207824)

摘　　要：目的研究玻璃体切割术后残留视网膜下膜的形态学特征,并探讨其对视网膜解剖复位的影响。方法选取玻璃体切割术后极部残留视网膜下膜患者13例(13眼),应用光学相干断层扫描(OCT)、海德堡全景眼底激光照相和眼底照相,研究术后1周、3个月视网膜下膜的形态和厚度变化。结果13例患者OCT检查均显示色素上皮层上的红色高反射隆起光带,视网膜下膜处未出现明显的视网膜脱离及网膜下液的积存;随访期间视网膜下膜形态及厚度未见明显改变。结论玻璃体切割术不需要去除不影响视网膜解剖复位的下膜。Objective To investigate the morphological features of the subretinal membranes after vitrectomy and reti- nal reattachment by clinical examination and optical coherence tomography （OCT）. Methods 13 patients （ 13 eyes） diagnosed as subretinal membranes in the vitrectomy, were included to record the morphological and structural development in one week and three months after the surgery. Clinical examination, OCT scan and the picture of ocular fundus photochromy were tested. Results All the 13 patients achieved successful retinal reattachment. OCT described the subretinal membranes as red highly reflective band closely attached and protuberant to the RPE layer, and the morphous and thickness of the subretinal membranes, had no significances in difference between these two time points. And the RNFL where the membranes sited, also showed no significant changes in thickness between the same two time points. Conclusion There is no need to remove subretinal membrane which does not have a negative effect on retinal reattachment.

关 键 词：视网膜下膜 光学相干断层扫描 视网膜复位 

分 类 号：R779.6[医药卫生—眼科]