摘要
目的:探讨玻璃体切除术联合内界膜剥除治疗特发性黄斑裂孔的疗效。方法:对93例93眼特发性黄斑裂孔患者行玻璃体切除联合内界膜剥除,气液交换,眼内填充C3F8。术后观察术眼视力及OCT了解黄斑裂孔变化。结果:特发性黄斑裂孔患者93例中裂孔完全愈合89例(96%),4例裂孔未闭,患者拒绝再次手术。绝大多数患者术后视力提高。结论:玻璃体切除联合内界膜剥除是治疗特发性黄斑裂孔的有效方法,能使绝大多数患者的裂孔得到解剖愈合,视力提高。
AIM ： To assess the effect of pars plana vitrectomy with internal limiting membrane（ILM） peeling in the treatment of idiopathic macular hole.
METHODS： Evaluation was performed on 93 eyes of 93 patients with idiopathic macular hole who underwent pars plana vitrectomy combined with ILM peeling, air-fluid exchange and C3F8 tamponade. Optical coherence tomography（OCT） and the assessment of best-corrected visual acuity （BCVA） were performed postoperatively.
RESULTS： Anatomic closure of the macular hole was achieved in 89 （96%） patients,and failed in 4 patients who refused to receive the surgery again. Most of the patients achieved a better final visual acuity.
CONCLUSION： Anatomic recovery and improvement of visual acuity were achieved in most of the patients. Pars plana vitrectomy with ILM peeling may be an effective method in the treatment of idiopathic macular hole.
出处
《国际眼科杂志》
CAS
2009年第6期1179-1181,共3页
International Eye Science
关键词
特发性黄斑裂孔
玻璃体切除
内界膜剥除
idiopathic macular hole
vitrectomy
internal limiting membrane peeling
