L形钛板黄斑外垫压治疗近视牵拉性黄斑病变  

L-shaped macular buckle for myopic traction maculopathy

作　　者：李芳玲[1] 许惠卓[1] 熊思齐[1] 王祥珪[1] Fang-ling Li;Hui-zhuo Xu;Si-qi Xiong;Xiang-gui Wang(Department of Ophthalmology, Xiangya Hospital, Central South University,Changsha, Hunan 410008, China)

机构地区：[1]中南大学湘雅医院眼科,湖南长沙410008

出　　处：《中国现代医学杂志》2018年第1期88-91,共4页China Journal of Modern Medicine

基　　金：湖南省自然科学基金(No:12JJ3120)

摘　　要：目的评价L形硅海绵钛板黄斑外垫压联合玻璃体切割术治疗近视牵拉性黄斑病变的临床疗效。方法前瞻性研究收集2015年8~11月在中南大学湘雅医院行L形硅海绵钛板黄斑外垫压联合玻璃体切割术的7例7眼近视牵拉性黄斑病变患者的临床资料,术后随访观察黄斑形态变化(如劈裂腔有无缩小或消失),最佳矫正视力、眼轴长度及眼压变化情况。计量资料采用t检验进行统计学分析。结果随访时间为4~6个月,黄斑部劈裂腔完全消失者2例,明显缩小者5例。患者术前平均LogMAR视力为(1.50±0.50),末次随访平均LogMAR视力为(0.87±0.32),差异有统计学意义(P<0.05)。至末次随访时,患者的平均眼轴为(27.72±1.75)mm,术前平均眼轴为(28.72±1.97)mm,差异有统计学意义(P<0.05)。其中1例患者术后1周出现高眼压,加用2种局部降压滴眼液,眼压恢复正常,至术后1.5个月停药。结论 L形硅海绵钛板黄斑外垫压联合玻璃体切割术治疗近视牵拉性黄斑病变是一种有效的手术方法。Objective To assess the surgical outcomes of L-shaped macular buckle(with silicone sponge and titanium)and par plana vitrectomy for myopic traction maculopathy.Methods This perspective study involved7eyes of7patients with myopic traction maculopathy who underwent L-shaped macular buckle(with silicone sponge and titanium)and par plana vitrectomy in Xiangya Hospital of Central South University from August2015to November2015.Main outcome measures included change of macular morphology on OCT(pre-and postoperative splitting chamber size of macula),changes of best-corrected visual acuity(BCVA),ocular axial length,and intraocular pressure(IOP).Measurement data were analyzed using t test.Results The follow-up period was4-6months.Total resolution of foveoschisis occurred in2eyes and great improvement of foveoschisis happened in5eyes.At the last follow-up,the postoperative BCVA improved compared with the preoperative BCVA[logMAR(0.87±0.32)vs.logMAR(1.50±0.50),P<0.05].The postoperative ocular axis decreased compared with the preoperative one[(27.72±1.75)mm vs.(28.72±1.97)mm,P<0.05].One week after operation,1patient had high IOP that reached41mmHg,but the IOP became normal by using two kinds of intraocular pressure-lowering eye drops which were stopped1.5months after operation.Conclusions The L-shaped macular buckle(with silicone sponge and titanium)combined with par plana vitrectomy is a safe and effective surgical approach in the treatment of myopic traction maculopathy.

关 键 词：L形黄斑外垫压 钛板 玻璃体切割 近视牵拉性黄斑病变 

分 类 号：R774.5[医药卫生—眼科]