内界膜剥除治疗高度近视黄斑劈裂的疗效分析  

Internal limiting membrane peeling for treatment offoveoschisis in high myopia

作　　者：蔡克波[1] 

机构地区：[1]上海交通大学医学院附属新华医院眼科,上海200092

出　　处：《山东大学耳鼻喉眼学报》2011年第5期108-110,共3页Journal of Otolaryngology and Ophthalmology of Shandong University

摘　　要：目的探讨和评价内界膜剥除治疗高度近视黄斑劈裂的疗效和安全性。方法 将2008年3月至2010年10月25例(25眼)高度近视黄斑劈裂患者随机分为治疗组和对照组,治疗组(14眼)给予玻璃体切除联合内界膜剥除,对照组(11眼)给予玻璃体切除但未联合内界膜剥除,术后3个月观察视网膜复位率、视物变形改善率和视力提高率。结果治疗组视网膜复位率、视物变形改善率高于对照组(P<0.05)。治疗组术后视力提高率21.43%,对照组18.18%,两组差异无统计学意义。结论内界膜剥除是治疗高度近视黄斑劈裂的有效手段,可明显提高视网膜复位率,改善视物变形,对术后视力无显著影响。Objective To evaluate the efficacy and safety of the internal limiting membrane（ILM） for treatment of foveoschisis in high myopia.Methods 25 high-myopia patients（25 eyes） with foveoschisis from March 2008 to October 2010 were divided two groups： the treatment group（14 eyes） was treated with vitrectomy combined with ILM peeling,and the control group（11 eyes） was treated only with vitrectomy.The best spectacle-correction,foveoschisis reattachment and dysmorphopsia were measured preoperatively and 3 months after surgery.Results The improvement of foveoschisis reattachment and dysmorphopsia in the treatment group was significantly better than those in the control group（P0.05）.There was no significant difference in the improvement of visual acuity between the two groups（P0.05）.Conclusion Vitrectomy with ILM peeling is more effective for treatment of foveoschisis in high myopia.It can improve foveoschisis reattachment and dysmorphopsia,but it can not significantly improve visual outcomes.

关 键 词：内界膜剥除 黄斑劈裂 玻璃体切除术 

分 类 号：R774.5[医药卫生—眼科]