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视网膜脱离术后黄斑前膜的手术治疗 被引量:5

Surgical therapy for macular pucker after retinal detachment surgery
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摘要 目的 探讨玻璃体切割手术治疗视网膜脱离术后并发黄斑前膜的效果。方法 2 5例 2 5眼孔源性视网膜脱离巩膜术后并发黄斑前膜有明显视物变形和视力下降病例接受玻璃体切割黄斑前膜剥除。观察术后视功能改善情况和并发症。结果 术后视物变形改善率为 80 % .76 %病例视力提高至 0 .1以上 (术前只有 2 8%病例视力在 0 .1以上 )。并发症有 :视网膜表面出血、黄斑前膜残留、视网膜脱离复发、核性白内障发展。结论 玻璃体切割黄斑前膜剥除是治疗视网膜脱离术后并发黄斑前膜的有效方法 。 Objective To evaluate the efficacy and outcomes of vitreotomy for macular pucker after retinal detachment surgery Methods Twenty five cases(25 eyes) with macular pucker after retinal detachment surgery presented significant visual loss and metamorphopsia Vitreotomy followed by peeling of macular pucker were performed The patients were followed postoperatively, visual function and complications were observed Results Metamorphopsia were alleviated in 80% of all patients Postoperatively,the visual acuity of 70% cases were better than 0 1 Preoperatively, only 28% of the patients had visual acuity better than 0 1 Complications included preretinal hemorrhage, residue of macular pucker, recurrent retinal detachment, nuclear cataract Conclusion Vitrectomy combinded by peeling of macular pucker, which had fewer complications, was the effective therapy for macular pucker after retinal detachment surgery
出处 《眼科新进展》 CAS 2001年第2期98-99,共2页 Recent Advances in Ophthalmology
关键词 视网膜脱离 黄斑前膜 玻璃体手术 retinal detachment macular pucker vitreotomy
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参考文献4

  • 1[1]Michels RG. Retinal Detachment[M].2nd ed. St. Louis∶Mosby 1997∶1062-1065.
  • 2[2]Freeman WR. Practical Atlas of Retinal Disease and Therapy[M]. 2nd ed. Philadelphia∶Lippincott Raven 1998∶368-372.
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  • 4[4]Grewing R, Mester U.Results of surgery for epiretinal membrane and their recurrence[J]. Br J Ophthalmol 1996;80∶323.

同被引文献23

  • 1曾水清,水迎波.视网膜脱离术后黄斑皱褶形成病因初探[J].眼底病,1993,9(1):8-10. 被引量:2
  • 2邹秀兰,赖铭莹,朱晓波,曾祥凤.玻璃体切割术治疗人工晶状体眼视网膜脱离的结果分析[J].眼科新进展,2006,26(6):443-445. 被引量:8
  • 3刘恬,张少冲,刘杏,李松峰,冷云霞.单纯玻璃体手术治疗非增殖型较复杂裂孔性视网膜脱离的临床研究[J].中国实用眼科杂志,2006,24(7):710-714. 被引量:12
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  • 8Heimann H, Zou XL, Jandeck C, Kellner U, Bechrakis NE, K reusel KM, et al. Primary vitrectomy for rhegmatogenous retinal detachment-an analysis of 512 cases[J]. Graefes Arch Clin Exp Ophthalmol 2006; 244: 69-78.
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