摘要
【目的】观察前后联合手术处理高度近视性黄斑裂孔术后眼轴及外界膜愈合的变化与视力的关系。【方法】把54例(54眼)接受手术治疗的患者分为两组:A组及B组,A组为高度近视性黄斑裂孔伴视网膜脱离,B组为高度近视性黄斑裂孔不伴视网膜脱离,通过光学相干光断层扫描(optical coherence tomography,OCT)和IOL Matser两种检查方法观察术后6个月的视力、眼轴、外界膜愈合的时间,采用相关性分析方法对数据进行处理分析。【结果】A组中视力是外界膜愈合的保护因素(P<0.0001)。B组中眼轴与各时间点的视力呈负相关(P=0.0025)。年龄是外界膜愈合的危险因素(P=0.0038),术前视力是外界膜愈合的保护因素(P=0.0425)。【结论】出现外界膜愈合的好于未出现的,外界膜愈合多发生在3~6个月。眼轴越短,视力越好,裂孔越趋于闭合。
【Objective】To observe the axial length and external limiting membrane healing of high myopic macular hole after phaco+IOL combined with vitrectomy And learn the relationship between the changes of synesthesia and visual acuity.【Methods】A total of54 patients(54 eyes)undergoing the operation were divided into two groups:group A and group B.The patients in the Group A suffered high myopic macular hole with retinal detachment,and those in the Group B suffered high myopic macular hole without retinal detachment.By OCT and IOL master,visual acuity,axial length and external limiting membrane healing of 54 patients after surgery were observed and measured in six months.The data were recorded and conducted by correlation analysis.【Results】There was no correlation between axial length and visual acuity in the Group A and visual acuity was a protective factor for external limiting membrane healing(P<0.0001).There was negative relationship between axial length and visual acuity at each time point in the Group B(P=0.0025).Age was a risk factor for external limiting membrane healing(P=0.0038).Preoperative visual acuity was a protective factor for external limiting membrane healing(P=0.0425).【Conclusions】The healing of external limiting membrane is better than that of the non-external membrane.The healing of external limiting membrane usually occurs in 3-6 months.The shorter axial length,the better visual acuity,and the closer healing of macular hole.
作者
孙红
秦向阳
SUN Hong;QIN Xiang-yang(Department of Ophthalmology,Characteristic Medical Center of PAP,TianJin 300162,China)
出处
《武警后勤学院学报（医学版）》
CAS
2020年第7期25-28,共4页
Journal of Logistics University of PAP（Medical Sciences）
关键词
高度近视性黄斑裂孔
视网膜脱离
眼轴
外界膜
High myopic macular hole
Retinal detachment
Axial length
External limiting membrane
