内界膜剥除联合玻璃体腔注射曲安奈德治疗PDR硅油填充术后黄斑水肿的临床观察  

Clinical observation ofinternal limiting membrane peeling united intraocular triamcinolone injection for macular edema after PDR silicone oil filling

作　　者：韩彦辉 孟繁超 于广委 王东林 赵楠 Han Yanhui;Meng Fanchao;Yu Guangwei;Wang Donglin;Zhao Nan(Jinan Mingshui Eye Hospital,Jinan Shandong,250200)

机构地区：[1]济南明水眼科医院,山东济南250200

出　　处：《中医眼耳鼻喉杂志》2024年第4期207-209,213,共4页Journal of Chinese Ophthalmology and Otorhinolaryngology

摘　　要：目的硅油取出术中内界膜剥除联合玻璃体腔注射曲安奈德(TA)治疗PDR硅油填充眼合并黄斑水肿的疗效观察。方法回顾性分析2020年10月至2022年5月因PDR导致的玻璃体积血或合并牵拉性视网膜脱离于我院行微创玻璃体切割联合硅油填充术的患者17例(17眼),行硅油取出时合并黄斑水肿,术中联合内界膜剥除及玻璃体腔注射TA,观察术前、术后1周、1个月及3个月时最佳矫正视力(BCVA)及黄斑中心凹厚度的变化。结果术后BCVA较术前提高,黄斑水肿较术前减轻。结论对PDR硅油填充眼合并黄斑水肿的患者,硅油取出术中联合内界膜剥除及玻璃体腔注射TA可有效减轻黄斑水肿,提高患者最佳矫正视力,改善生活质量。Objective To observe the effect of internal limiting membrane peeling combined with intraocular injection of triamcinolone(TA)in the treatment of PDR silicone oil eye with macular edema.Methods Patients were treated in our hospital for minimally invasive vitrectomy due to PDR,for postoperative macular edema,oil extraction should be combined with internal limiting membrane peeling and intrabulbar injection of TA.BCVA and macular edema were observed before and after surgery.Results BCVA improved and macular edema reduced after the operation,with the difference being statistically significant.Conclusion The patients with PDR silicone oil eyes complicated with macular edema,surgical treatment using oil extraction combined with inner boundary membrane peeling and intraocular injection of TA can effectively reduce macular edema,improve the best corrected visual acuity.

关 键 词：PDR 硅油填充眼 黄斑水肿 内界膜剥除 

分 类 号：R77[医药卫生—眼科]