玻璃体切割手术联合全视网膜光凝术对糖尿病视网膜病变患者屈光状态及泪膜功能的影响  

Effect of Vitrectomy Combined with Panretinal Photocoagulation on Refractive Status and Tear Film Function in Patients with Diabetes Retinopathy

作　　者：张文波[1] 贾新国[1] 王庆强[1] ZHANG Wenbo;JIA Xinguo;WANG Qingqiang(Shengli Oilfield Central Hospital,Shandong Dongying 257000,China)

机构地区：[1]山东省东营市胜利油田中心医院眼科,山东东营257000

出　　处：《河北医学》2023年第8期1358-1362,共5页Hebei Medicine

基　　金：山东省医药卫生科技发展计划项目,(编号:2021WS0219)。

摘　　要：目的:探讨玻璃体切割手术联合全视网膜光凝术对糖尿病视网膜病变患者屈光状态及泪膜功能的影响。方法:选择68例糖尿病视网膜病变患者,玻切联合组采用标准三通道23G玻璃体切除术联合全视网膜光凝术进行治疗,全视网膜光凝组采用眼底激光治疗仪进行治疗,比较疗效情况。结果:治疗前全视网膜光凝组和玻切联合组最佳矫正视力、泪膜破裂时间和泪液分泌试验比较无明显差异(P>0.05),治疗后6个月玻切联合组最佳矫正视力、泪膜破裂时间和泪液分泌试验高于全视网膜光凝组(P<0.05),玻切联合组泪膜破裂时间治疗前后差值和泪液分泌试验治疗前后差值高于全视网膜光凝组(P<0.05);治疗前全视网膜光凝组和玻切联合组屈光状态和眼轴长度比较无明显差异(P>0.05),玻切联合组屈光状态和眼轴长度高于全视网膜光凝组(P<0.05)。结论:玻璃体切割手术联合全视网膜光凝术有助于减少糖尿病视网膜病变患者屈光状态的改变,稳定泪膜功能。Objective:To investigate the effect of vitrectomy combined with panretinal photocoagulation on refractive status and tear film function in patients with diabetes retinopathy.Methods:A total of 68 patients with diabetes retinopathy were selected.The standard three channel 23G vitrectomy combined with panretinal photocoagulation was used in the vitrectomy combined group,and the fundus laser therapeutic apparatus was used in the panretinal photocoagulation group.The efficacy was compared.Results:Before treatment,there was no significant difference in the best corrected visual acuity,tear film rupture time,and tear secretion test between the whole retina photocoagulation group and the glass cutting combined group(P>0.05).After 6 months of treatment,the glass cutting combined group had higher best corrected visual acuity,tear film rupture time,and tear secretion test than the whole retina photocoagulation group(P<0.05).The difference in tear film rupture time before and after treatment and the difference in tear secretion test before and after treatment in the combination group was higher than that in the whole retina photocoagulation group(P<0.05).Before treatment,there was no significant difference in refractive status and axial length between the whole retina photocoagulation group and the glass cutting combined group(P>0.05).The refractive status and axial length of the glass cutting combined group were higher than those of the whole retina photocoagulation group(P<0.05).Conclusion:Vitrectomy combined with panretinal photocoagulation is helpful to reduce the changes of refractive status and stabilize tear film function in patients with diabetes retinopathy.

关 键 词：糖尿病视网膜病变 玻璃体切割术 全视网膜光凝术 屈光状态 泪膜功能 

分 类 号：R587.2[医药卫生—内分泌] R779.6[医药卫生—内科学]