摘要
目的探讨玻璃体切除治疗合并脉络膜脱离黄斑裂孔性视网膜脱离的临床疗效。方法对确诊为合并脉络膜脱离黄斑裂孔性视网膜脱离的48例(48只眼)随机分为应用糖皮质激素联合玻璃体切除手术组和直接行玻璃体切除手术组。对比术后视力变化、眼压、脉络膜脱离复位率、视网膜脱离复位率、黄斑裂孔状态及术后并发症等。结果经一次手术38只眼视网膜脉络膜完全复位,平均视力较术前有明显改善(P<0.05)。术后并发症包括一过性眼压升高、晶状体混浊加剧及复位不成功等。结论对于合并脉络膜脱离的黄斑裂孔性视网膜脱离,无论术前是否应用激素,术后疗效视功能相近。术前应用糖皮质激素的必要性值得探讨。及时采取玻璃体手术是一种有效的治疗手段。
Objective To evaluate the efficacy of pars plana vitreetomy for the treatment of macular rhegmatogenous retinal detachment complicated with ehoriodal detachment. Methods 48 eyes of 48 patients diagnosed of maeular rhegmatogenous retinal detachment complicated with ehoriodal detachment were treated with pars plana vitreetomy and internal limiting membrane peeling. During follow-up visit, Best-corrected visual acuity, intraoeular pressure, complications, macular hole situation and optical coherence tomography were observed. Results 38 macular holes successfully dosed after primary surgery. Mean postoperative visual acuity improved （ P 〈 0.05 ）. Postoperative complications included facilitating lens opaeifieation, reattaehment failure and transient intraneular pressure elevation in 9 patients. Conclusion Pars plana vitreetomy plays an important role in the treatment of maeular rhegmatogenous retinal detachment complicated with ehoriodal detachment.
出处
《临床眼科杂志》
2008年第6期520-522,共3页
Journal of Clinical Ophthalmology
