23G微创玻璃体切割术治疗特发性黄斑裂孔疗效分析  

Retrospectively Analyzing Repairments of 23G Transconjunctival Sutureless Vitrectomy for Idiopathic Macular Hole

作　　者：冯程程[1] 刘菲[2] 邓爱军[3] 孙艳[3] 

机构地区：[1]潍坊医学院眼科学教研室,山东潍坊261053 [2]解放军第89医院 [3]潍坊医学院附属医院眼科

出　　处：《潍坊医学院学报》2015年第2期98-99,158,共3页Acta Academiae Medicinae Weifang

摘　　要：目的：观察应用23G微创玻璃体切割剥除视网膜内界膜联合气体充填治疗特发性黄斑裂孔的疗效。方法回顾性分析2013年3月～2014年6月在潍坊医学院附属医院眼科中心诊断为特发性黄斑裂孔22例（22眼），采用23G玻璃体切割剥除视网膜内界联合气体眼内充填术，术后切口免缝合，且保持面部向下的俯卧位1～2周，术后随访3～6个月，测量并观察患者术前、术后视力，使用频域光学相干断层扫描（ SD－OCT）证实黄斑裂孔术后封闭情况。结果所有患者手术过程顺利，术中、术后未发生严重并发症，术后所有患者经SD－OCT证实裂孔闭合。术前患者logMAR BCVA 1．22±0．45，术后logMAR BCVA 0．76±0．41，较术前有明显提高（Mann－Whitney U检验，P＝0．001）。结论对特发性黄斑裂孔患者行23G微创玻璃体切割剥除视网膜内界膜联合气体充填治疗，能有效封闭裂孔，明显提高患者视力，且并发症少，患者术后不适症状较轻。Objective To observe the therapeutic effects of 23-gauge（23G） transconjunctival sutureless vitrectomy for idiopathic macular hole .Methods Twenty-two cases of ophthalmology diagnosis of idiopathic macular hole from March 2013 to July 2014 in Weifang medical university affiliated hospital were collected .All the patients were treated with vitrectomy surgey combined with ERM peeling and gass tamponade,and asked to keep lie prostrate for 1~2 weeks.The follow-up time was 3~6 months.The best corrected visual acuity （ BCVA） were performed before and after surgery ,macular holes were scanned by SD-OCT.Results All cases were successfully performed surgery ,and all confirmed to be closed by SD-OCT.The average preoperative logMAR BCVA was 1.22 ±0.45 and the average postoperative logMAR BC-VA was 0.76 ±0.41 which obviously improved than preoperative one （the Mann-Whitney U test,P =0.001）.Conclusion The 23G transconjunctival sutureless vitrectomy is effective in the treatment of idiopathic macular holes ,also ,it can reduce the complications .

关 键 词：玻璃体切割术 特发性黄斑裂孔 频域光学相干断层扫描 

分 类 号：R969.4[医药卫生—药理学]