内界膜剥离治疗黄斑裂孔的临床研究  

Internal Limiting Membrane Removal in Macular Hole Surgery

作　　者：栾春生[1] 崔敏[2] 

机构地区：[1]大庆油田总医院眼科,黑龙江大庆163001 [2]成都医学院第一附属医院眼科,四川成都610500

出　　处：《华西医学》2009年第8期1936-1939,共4页West China Medical Journal

摘　　要：目的:通过比较玻璃体切除联合内界膜剥离术和玻璃体切除术,探讨更适合黄斑裂孔患者的手术方法。方法:对2006年1月至2008年12月在我院确诊有黄斑裂孔的39名患者40眼随机分为两组:A组行玻璃体切除联合内界膜剥离术,B组行玻璃体切除术,对比两组患者术前、术后最佳矫正视力、视野检查结果、ERG和VEP,OCT检查黄斑裂孔闭合的情况。结果:两组术前最佳矫正视力无统计学差异。A组的术后最佳矫正视力、视野检查结果、ERG和黄斑裂孔闭合率均好于B组。两组术后6个月VEP比较无统计学差别。结论:玻璃体切除联合内界膜剥离较玻璃体切除术更能有效治疗黄斑裂孔。Objective：To observe whether the vitrectomy combined with internal limiting membrane（ILM） peeling or without ILM peeling is more suitable for macular hole.Methods：We studied 40 eyes of 39 patients with an macular hole.The patients were divided into group A（20 eyes of 20 patients） who underwent the vitrectomy combined with ILM peeling and group B（20 eyes of 19 patients） who underwent vitrectomy surgery.Routine examinations were conducted during the 6-month follow-up period.The best corrected-visual acuity,visual field, eleetroretinogram and optical coherence tomography（OCT） were checked after surgery. Results： There was no statistics difference in best corrected-visual acuity between the two groups before surgery. The best corrected-visual acuity, visual field, ERG and number of closed hole after surgery in group A were better than that in group B. The VEP findings between the two groups at 6 months post-treatment were comparable. Conclusion： The vitrectomy combined with ILM peeling is more suitable than the vitrectomy for macular hole.

关 键 词：黄斑裂孔 内界膜 

分 类 号：R779.6[医药卫生—眼科]