微创玻璃体切除术治疗黄斑前膜的临床研究  

The 23-gauge micro-invasive vitrectomy for idiopathic macular epiretinal membrane

作　　者：王骞[1] 周尚昆[2] 泰虹[2] 王慧娟[2] 王璐霞[2] 马群英[2] 

机构地区：[1]郑州市第二人民医院眼科,450006 [2]北京中国中医科学院眼科医院

出　　处：《中华眼外伤职业眼病杂志》2015年第10期748-750,共3页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的：评价23 G微创玻璃体切除术治疗特发性黄斑前膜的临床效果。方法采用23 G微创玻璃体切除治疗的特发性黄斑前膜33例（33眼）。记录手术时间,对比手术前后视力、黄斑厚度及眼压等。术后随访3个月。结果术后1周和术后1个月患者视力和术前视力差异有统计学意义（t=-2.958,-3.511,P =0.01；黄斑厚度术前和术后1周差异无统计学意义（t =2.027,P =0.089）,和术后1个月差异有统计学意义（t=2.814,P=0.031。手术前后眼压差异无统计学意义（t=0.504,P=0.632）。所有患者均无明显手术并发症发生。结论23 G微创玻璃体切除手术治疗特发性黄斑前膜能改善视力,减轻黄斑水肿,安全有效。Objective To evaluate the clinical effect of 23-gauge micro-invasive vitrectomy for idiopathic epimacular membrane （ IEM） . Methods Thirty-three eyes of 33 cases who underwent 23-gauge micro-invasive vitrectomy were collected. The operating time was recorded. The visual acuity, central macular thickness and intraocular pressure were compared before, 1 week and 1 month after the surgery. The follow-up time was 3 months. Results The differences between preoperative visual acuity and that 1 week and 1 month postoperativly were statistically significant （t= -2. 958, -3. 511, P=0. 01）. The macular thickness 1 week after the surgery was not statistically different from that before surgery （ t =2. 027, P =0. 089）. But the macular thickness 1 month after the surgery was statistically significantly lower than that before surgery （t=2. 814, P =0. 031）. The difference in intraocular pressure was not statistically significant between before and after the surgery （t = 0. 504, P = 0. 632）. There was no obvious complication. Conclusion 23G micro-invasive vitrectomy for idiopathic epimacular membrane can improve visual acuity, lighten the macular edema. The treatment is safe and effective.

关 键 词：玻璃体切除术 23 G 黄斑前膜 特发性 

分 类 号：R779.6[医药卫生—眼科]