老年增殖性糖尿病视网膜病变手术治疗的回顾性分析  

Retrospective analysis of surgical treatment on proliferative diabetic retinopathy in the elderly

作　　者：张萃丽[1] 郁梅[1] 陈雪艺[1] 

机构地区：[1]新疆医科大学第一附属医院眼科

出　　处：《国际眼科杂志》2015年第11期1996-1998,共3页International Eye Science

摘　　要：目的：回顾性分析玻璃体切除术治疗老年增殖性糖尿病视网膜病变（proliferative diabetic retinopathy,PDR）的疗效。方法：回顾性分析行玻璃体切除术治疗的老年PDR患者136例150眼,对手术要点、术后视力、手术并发症进行总结分析。结果：术后随访6~15mo,术后视力提高115眼（76.7%）,视力不变23眼（15.3%）,视力下降12眼（8.0%）;其中Ⅳ期视力提高56眼（82.3%）,视力不变8眼（11.8%）,视力下降4眼（5.9%）;Ⅴ期视力提高36眼（75.0%）,视力不变8眼（16.7%）,视力下降4眼（8.3%）;Ⅵ期视力提高22眼（64.7%）,视力不变12眼（35.3%）,视力下降0眼。患眼Ⅳ期、Ⅴ期术后视力改善程度明显好于Ⅵ期。结论：玻璃体切除术并发症少,能有效治疗PDR。AIM：To evaluate the effect of vitrectomy on treating proliferative diabetic retinopathy（PDR） in elderly.METHODS：One hundred and thirty-six elder patients（150 eyes） with PDR treated by vitrectomy were retrospectively analyzed,the postoperative visual acuity,complications and essential points during operations were analysed.RESULTS：Postoperative follow-ups were 6 ~ 15 mo.Visual acuity improved in 115 eyes（76.7%）,unchanged in23 eyes（15.3%） and decreased in 12 eyes（8.0%）.The patients whose eyes were in PDR phase IV had their visual acuity improved in 56 eyes（82.3%）,unchanged in 8 eyes（11.8%） and decreased in 4 eyes（5.9%）.The patients in phase Ⅴ had their visual acuity improve in 36 eyes（75.0%）,unchanged in 8 eyes（16.7%）,and decreased in 4 eyes（8.3%）.Those in phase Ⅵ had their visual acuity improve in 22 eyes（64.7%）,unchanged in 12 eyes（35.3%） and decreased in 0 eyes.Visual acuity of the eyes in phase Ⅳ and Ⅴ improved significantly than those in phaseⅥ after vitrectomy.CONCLUSION：Vitrectomy has fewer complications,which is effective for PDR.

关 键 词：玻璃体切除术 糖尿病视网膜病变 增殖性 

分 类 号：R779.6[医药卫生—眼科] R587.2[医药卫生—临床医学]