无菌空气填充治疗大孔径特发性黄斑裂孔的疗效观察  

Sterilized air tamponade for large idiopathic macular hole

作　　者：侯亚南 犹爱林 王一 Ya-Nan Hou;Ai-Lin You;Yi Wang(Chongqing Aier Eye Hospital, Chongqing 400000, China;Aier School of Ophthalmology,Central South University,Changsha 410000,Hunan Province,China)

机构地区：[1]重庆爱尔眼科医院,中国重庆市400000 [2]中南大学爱尔眼科学院,中国湖南省长沙市410000

出　　处：《国际眼科杂志》2021年第2期195-198,共4页International Eye Science

摘　　要：目的:探讨无菌空气填充治疗大孔径特发性黄斑裂孔的安全性和有效性。方法:回顾性研究。共纳入2017-06/2018-05我院收治的特发性黄斑裂孔患者8例9眼,平均黄斑裂孔最小直径>700μm,平均黄斑裂孔基底部直径>1300μm,所有患者均行白内障超声乳化摘除及25G玻璃体切割联合内界膜填塞、无菌空气填充术。平均随访12mo,比较术前和术后最佳矫正视力(BCVA)及黄斑裂孔闭合情况。结果:末次随访时,所有患者黄斑裂孔均闭合,SD-OCT显示术后黄斑裂孔的闭合率为100%(9/9)。术后BCVA(LogMAR)较术前显着改善(0.83±0.26 vs 1.27±0.28),差异有统计学意义(P=0.007)。所有患者术中及术后均未发生并发症。结论:无菌空气填充治疗大孔径特发性黄斑裂孔安全、有效。AIM:To explore the safety and efficacy of air tamponade in the closure of large idiopathic macular holes(IMHs).METHODS:A retrospective study.Nine eyes of eight patients with large IMH were admitted to our hospital from June 2017 to may 2018.Mean macular hole(MH)minimum diameter>700μm and mean MH basal diameter>1300μm.All the patients were underwent 25G phacovitrectomy,internal limiting membrane flaptuck,and sterilized air tamponade in the vitreous cavity.With a mean follow up of 12mo,the best-corrected visual acuity(BCVA)and macular hole closure were compared before and after operation.RESULTS:At the last follow up,all the patients obtained MH closure.The SD-OCT showed that the postoperative MH closure rate was 100%(9/9).Postoperative BCVA improved signicantly compared with the preoperative(0.83±0.26 vs 1.27±0.28),the difference was statistically significant(P=0.007).No complications occurred during and after the operation.CONCLUSION:Sterilized air tamponade might provide a safe and efficient effect on the closure of large IMHs.

关 键 词：空气填充 玻切 黄斑裂孔 

分 类 号：R47[医药卫生—护理学]