微创玻璃休切除术治疗脉络膜脱离型视网膜脱离的效果  

Efficacy of minimally invasive vitrectomy for the treatment of retinal detachment with choroidal detachment

作　　者：吕秀丽 张东昌[1] Lyu Xiuli;Zhang Dongchang(Department of Vitreoretina , Shanxi Eye Hospital, Taiyuan 030002 , China)

机构地区：[1]山西省眼科医院玻璃体视网膜科,太原030002

出　　处：《中华眼外伤职业眼病杂志》2019年第2期108-111,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的评价25G微创玻璃体切除术治疗脉络膜脱离型视网膜脱离的效果方法回顾性分析2016年1月至12月行微创玻璃体切除术32例脉络膜脱离型视网膜脱离的临床资料:结果术前最佳矫正视力(LogMAR)为2.21±0.37,术后提高至1.32±0.63,差异有统计学意义(t=10.930,P=0.001)。术前眼压为(7.38±2.03)mmHg,术后眼压为(14.59±3.41)mmHg(1mmHg=0.133kPa),差异有统计学意义(t=-11.550,P=0.001)出院时视网膜复位率为100%,术后硅油取出后3个月视网膜复位率为87.50%结论25G微创玻璃体切除术是治疗脉络膜脱离型视网膜脱离的有效方法.Objective To evaluate the efficacy of 25 G minimally invasive vitrectomy for the treatment of retinal detachnienl with choroidal detachment. Methods The data of 32 patients of retinal detachment with choroidal detachment were retrospectively analysed and all patients underwent minimally invasive vitrectomy combined with silicone oil tamponade. Results The average best corrected visual acuity (LogMAK ) was 2. 21 ±0. 37 before surgery, and increased to 1.32 ±0. 63 after surgery, and the difference was statistically significant (t = 10. 930, P =0. 001 ). The intraocular pressure was ( 7. 38 ± 2. 03 ) mmHg before surgery, and ( 14. 59 ± 3. 41 ) mmHg after surgery ( 1 mmHg = 0. 133 kPa). The difference was statistically significant (t =-11.550 , P=0.001 ). The rate of retinal reatlachment al discharge was 100%(32/32), and 87.5%(28/32) at 3 months after silicone oil removal, vitrectomy is an effective method for the treatment of retinal detachment.

关 键 词：玻璃体切除术 微创 视网膜脱离 脱离 脉络膜 

分 类 号：R779.6[医药卫生—眼科]