后巩膜加固术联合玻璃体切除术治疗高度近视黄斑劈裂  

Vitrectomy combined with posterior scleral reinforcement for high myopic macular retinoschisis

作　　者：李琳[1] Li Lin(Department of Ophthalmology, The People’s Hospital of Huaiyang County, Henan 466700, China)

机构地区：[1]淮阳县人民医院眼科,河南466700

出　　处：《中华眼外伤职业眼病杂志》2019年第7期542-545,共4页Chinese Journal of Ocular Trauma and Occupational Eye Disease

摘　　要：目的探讨后巩膜加固术联合玻璃体切除和内界膜剥除术治疗高度近视黄斑劈裂的临床效果。方法回顾性分析2014年3月至2017年2月本院高度近视黄斑劈裂37例(37眼)的资料,所有患者均应用后巩膜加固术联合玻璃体切除、内界膜剥除和空气填充术治疗,部分合并白内障者,再联合超声乳化人工晶状体植入术。随访12个月。结果术后37眼视网膜黄斑劈裂均完全闭合。术后3个月黄斑中心区视网膜厚度均低于术前(P<0.05)。术后6个月最佳矫正视力高于术前(P<0.05),且术后12个月高于术后6个月者(P<0.05)。眼轴长度术后6个月短于术前(P<0.05),且术后12个月短于术后6个月者(P<0.01)。一过性高眼压2眼,无二次手术者,未发生其他并发症。结论后巩膜加固术联合玻璃体切除和内界膜剥除治疗高度近视黄斑劈裂,效果较好。Objective To investigate the clinical efficacy of vitrectomy combined with internal limiting membrane peeling and posterior scleral reinforcement for the treatment of high myopic macular retionschisis. Methods The data of 37 eyes of 37 patients with high myopia and macular splitting who were treated in our hospital from Mar. 2014 to Feb. 2017 were analyzed retrospectively. All patients were treated with posterior scleral reinforcement combined with vitrectomy, internal limiting membrane peeling and intravitreal injection of air. Among them partial cataract patients were treated with phacoemulsification and intraocular lens implantation. The follow-up time was 12 months. Results After operation, the retinoschisis was completely closed in 37 eyes. The thickness of central macular retina at 3 months after operation was significantly lower than that before operation (P<0.05). The best corrected visual acuity at 6 months postoperatively was significantly higher than preoperatively(P<0.05), and the visual acuity at 12 months after operation was higher than that at 6 months after operation (P<0.05). The axial length at 6 months after operation was significantly shorter than that preoperatively(P<0.05), and the axial length at 12 months after operation was shorter than that at 6 months after operation (P<0.01). Transient high intraocular pressure occurred in 2 eyes. No secondary surgery treated or other complication occurred. Conclusion The clinical efficacy of posterior scleral reinforcement combined with vitrectomy and internal limiting membrane peeling for the treatment of high myopic macular retionschisis is good.

关 键 词：加固术 后巩膜 视网膜病变 近视 高度 劈裂 黄斑 

分 类 号：R779.6[医药卫生—眼科]