应用25G系统玻璃体切除术联合内界膜剥离治疗特发性黄斑孔  

Vitrectomy with internal limiting membrane peeling in the treatment of idiopathic macular hole （IMH）.

作　　者：赵艳霞[1] 鞠家君[1] 刘杰[1] 

机构地区：[1]哈尔滨二四二医院眼科,150066

出　　处：《中华眼外伤职业眼病杂志》2011年第5期339-341,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨应用25G系统玻璃体切除术联合内界膜剥离治疗特发性黄斑孔的手术效果。方法对10例（10眼）特发性黄斑孔行25G系统玻璃体切除术联合内界膜剥离，气液交换，眼内充填C3F8。术后观察视力，并进行OCT检查了解黄斑孔封闭情况。结果10例（10眼）黄斑孔均闭合。随访1～6个月，2眼视力未提高，8眼视力提高1～3行，10眼均未见复发。结论玻璃体切除术联合内界膜剥离治疗特发性黄斑孔是有效的；25GTSV应用于黄斑孔的手术治疗具有手术时间短、创伤小及术后恢复怏等优点。Objective To evaluate the therapeutic effect of 25-gauge transconjunctival sutureless vitrectomy with internal limiting membrane（ILM） peeling in treating idiopathic macular hole（IMH）. Methods Ten eyes of ten patients with idiopathic macular hole under went 25-gauge TSV combined with internal limiting membrane peeling, air-fluid exchange and C3F8 tamponade. Optical coherence tomography （OCT） and the assessment of best-correted visual acuity （BCVA） were performed. Results IMH were completely closed in all 10 eyes. After a month of postoperation , two cases had no vision improvement and eight cases got postoperative vision improvement by 1-3 lines. No eye was observed reopening macuiar hole during the follow up 1-6mo. Conclusion Vitretomy with ILM peeling is an effective treatment for IMH. The treatment of IMH by using 25G-TSV has many advantages , such as operation time, micro invasing and rapid recovery. It was worthy to be popularized.

关 键 词：25G 玻璃体切除术 黄斑孔 特发性 内界膜剥离 

分 类 号：R779.6[医药卫生—眼科]