玻璃体切除术治疗增殖性糖尿病视网膜病变疗效观察  

Effect of vitrectomy on proliferative diabetic retinopathy

作　　者：吴昌龙[1] 王玉[2] 谭瑞礼[2] 王建荣[2] 季强[2] 

机构地区：[1]潍坊医学院,山东潍坊261042 [2]济南市第二人民医院,济南250001

出　　处：《山东大学耳鼻喉眼学报》2008年第6期544-546,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的评价玻璃体切除术对增殖性糖尿病视网膜病变（PDR）的疗效。方法对在我院行玻璃体切割术的156例（198眼）PDR患者资料进行回顾性分析。结杲198眼术后视力改善146眼（73．74％），其中Ⅳ～Ⅴ期116眼（79．45％），Ⅵ期30眼（20．55％）；32眼（16．16％）视力不变，20眼（10．10％）视力下降。术中、术后主要并发症有视网膜脱离、高眼压、玻璃体出血。结论玻璃体切割术是治疗PDR的有效手段，大部分患者视力改善；减少术中、术后并发症对该病的顸后非常关键。Objective To evaluate the effect of vitrectomy on proliferative diabetic retinopathy（PDR）. Methods 198 eyes of 156 patients with PDR who had undergone vitrectomy were retrospectively analyzed. Results Followed up from 6 to 12 months （mean 10 months）, the final visual acuity increased in 146 eyes（73.74%）, 116 eyes （79.45%） were in stage Ⅳto V and 30 eyes （20.55%） were in stage Ⅵ; the visual acuity had no changes in 32 eyes（16.16%）and was decreased in 20 eyes （10.10%）. Retinal detachment, vitreous hemorrhage and high intraocular pressure were found after the operations. Conclusion Vitrectomy is valuable in improving visual acuity.

关 键 词：增殖性糖尿病视网膜病变 玻璃体切除术 

分 类 号：R774.1[医药卫生—眼科]