外伤性黄斑孔术中滤过空气填充的临床疗效  

Clinical efficacy of air tamponade during vitrectomy for the treatment of traumatic macular hole

作　　者：陈胜[1] 赵铁英[1] 秦波[1] 张桐[1] 

机构地区：[1]深圳市眼科医院深圳市眼科学重点实验室暨南大学附属深圳眼科医院,518040

出　　处：《中华眼外伤职业眼病杂志》2015年第10期736-738,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

基　　金：深圳市科技计划重点项目（20120322206）

摘　　要：目的：分析外伤性黄斑孔在玻璃体切除内界膜剥除术中,玻璃体腔填充滤过空气的手术疗效。方法回顾性分析2012年1月至2014年1月在我院由同一医师手术的外伤性黄斑孔11例（11只眼）。手术方式为玻璃体切除、内界膜剥除及玻璃体腔内滤过空气填充。术后随访4-12个月。记录术前及末次随访的最佳矫正视力和黄斑孔闭合情况。结果术后黄斑孔闭合者占63.60%,视力提高两行以上者占45.50%。术后孔闭合者其术前孔径小于孔未闭合者,差异有统计学意义（ F=1.79,P=0.038）。术后面向下体位平均时间为（4.27±1.20）d。结论玻璃体切除内界膜剥除玻璃体腔填充滤过空气是一种有效的治疗外伤性黄斑孔的方法；外伤性黄斑孔手术中眼内填充滤过空气,可明显缩短患者术后面向下体位时间,提前改善视力,有效封闭裂孔。Objective To analyze the therapeutic effect of air tamponade after vitrectomy and internal limiting membrane peeling for traumatic macular hole. Methods A retrospective study was conducted on 11 eyes of 11 patients with traumatic macular hole during Jan 2012 to Jan 2014. All patients received vitrectomy, internal limiting membrane peeling and air temponade. All procedures were performed by the same surgeon. The patients were followed up for 4 to 12 months. The best corrected visual acuity and condition of macular hole was recorded preoperatively and at the last follow-up time. Results The rate of macular hole closure was 63. 60%. The patients whose visual acuity improved by two or more lines accounted for 45. 50%. The preoperative diameter of macular hole in the eyes that the macular hole closed was significantly smaller than that unclosed （F=1. 79,P=0. 038）. The time of post-operative prone position was （4. 27 ± 1. 20） days. Conclusion Vitrectomy with internal membrane peeling and air temponade is an effective way to treat traumatic macular hole. Air temponade could shorten the duration of post-operative prone position, improve vision earlierly and close macular hole efficiently.

关 键 词：黄斑孔 外伤性 手术治疗 玻璃体切除术 空气填充 视力 

分 类 号：R779.6[医药卫生—眼科]