后巩膜加固联合玻璃体视网膜手术治疗病理性近视黄斑劈裂观察  

Posterior scleral reinforcement combined vitrectomy treating macular retinoschisis in pathologic myopia

作　　者：王慧娟[1] 秦虹[1] 

机构地区：[1]中国中医科学院眼科医院,北京市100040

出　　处：《中国实用眼科杂志》2017年第2期204-206,共3页Chinese Journal of Practical Ophthalmology

摘　　要：目的研究后巩膜加固术联合玻璃体视网膜手术治疗病理性近视黄斑劈裂的临床疗效。方法对2013年1月至2016年7月在中医科学院眼科医院就诊的45例高度近视伴随黄斑劈裂患者，35例行后巩膜加固联合玻璃体视网膜手术，对照组10例行单纯后巩膜加固术，术后1月、3月观察患者视力及黄斑劈裂情况（OCT）。结果术后3月后巩膜加固组有3例患者黄斑劈裂减轻，视力提高无统计学意义（P〉0．05）；联合手术组27例视力明显提高、且OCT可见黄斑劈裂明显减轻，差异有统计学意义（P〈0．05）。两组术后均未见明显并发症。结论后巩膜加固联合玻璃体视网膜手术是临床治疗病理性近视黄斑劈裂患者较好的治疗方法。Objective To observe the clinic effect in treating macular retinoschisis in pathologic myopia with scleral reinforcement vs. scleral reinforcement combined vitrecotmy. Methods A prospec- tive clinical controlled study of 45 pathologic myopia patients with macular retinoschisis were collect- ed, 35 patients were treated with scleral reinforcement combined vitrectomy surgery and 10 patients with only scleral reinforcement surgery. Observed Vision, macular retinoschisis using OCT and com- plication of surgery after 1 month and 3 months were observed. Results After 3 months, only 3 pa- tients＇ vision sight and macular retinoschisis in scleral reinforcement group were better, while 27 pa- tients in the combined surgery group were better than before. Both groups had no serious complica- tion. Conclusions Scleral reinforcement combined vitrectomy has good clinical effect in treating mac- ular retinoschisis with pathologic myopia.

关 键 词：病理性近视 黄斑劈裂 后巩膜加固术 

分 类 号：R779.6[医药卫生—眼科]