摘要
目的观察玻璃体切割术治疗增生性糖尿病视网膜病变(proliferative diabetic retinopathy,PDR)的临床疗效。方法回顾性分析行玻璃体切割术治疗的71例(76眼)PDR患者临床资料,观察术后视力及并发症情况,并对PDR不同分期患者的术后视力进行对比,总结影响术后视力恢复的因素。结果术前视力:光感3眼,手动24眼,数指13眼,0.02～0.1者20眼,≥0.1者16眼;术后视力:光感1眼,手动6眼,数指16眼,0.02～0.1者10眼,≥0.1者43眼;手术前后视力差异有显著统计学意义(P=0.000)。其中Ⅳ期、Ⅴ期、Ⅵ期患者中分别有20眼、18眼、16眼术后视力不同程度提高,手术前后视力差异均有统计学意义(P=0.001、0.025、0.036)。术后并发症有角膜水肿伴硅油继发性青光眼,前房纤维素性渗出,玻璃体再次积血,黄斑区及周围视网膜点状出血、渗出等。结论玻璃体切割术疗效明显,可改善大多数患者视功能,是治疗PDR的安全、有效方法。
Objective To observe the curative effect of vitrectomy for patients with proliferative diabetic retinopathy（PDR）.Methods The clinical data of 71 cases（76 eyes）with PDR underwent vitrectomy were analyzed retrospectively,the postoperative visual acuity and complications were observed,the postoperative visual acuity between patients with different stages of PDR was compared,and the factors affecting postoperative visual acuity recovery were investigated.Results The preoperative visual acuity were light perception in 3 eyes,hand movement in 24 eyes,counting finger in 13 eyes,from 0.02 to 0.1 in 20 eyes and equal to or more than 0.1 in 16 eyes,the postoperative visual acuity were light perception in 1 eye,hand movement in 6 eyes,counting finger in 16 eyes,from 0.02 to 0.1 in 10 eyes and equal to or more than 0.1 in 43 eyes,there was significant difference（P=0.000）.The postoperative visual acuity of patients with stage Ⅳ,Ⅴand Ⅵ were improved to certain degree in 20 eyes,18 eyes and 16 eyes,respectively,there were significant differences between pre-operation and post-operation（P=0.001,0.025,0.036）.The postoperative complications included the corneal edema with secondary glaucoma induced by silicon,fibrinous exudation in anterior chamber,recurred vitreous hemorrhage,punctate hemorrhage and exudation around macular area and peripheral retina,et al.Conclusion Vitrectomy is obviously effective,can improve visual function in most patients,and is safe and effective method for PDR.
出处
《眼科新进展》
CAS
北大核心
2012年第1期56-58,共3页
Recent Advances in Ophthalmology
