摘要
目的：研究Ultra Q-YAG玻璃体消融术治疗不同年龄段临床有症状飞蚊症患者的疗效及安全性。
AIM： To study the efficacy and safety of Ultra Q- YAG vitreolysis for vitreous floaters. METHODS： Retrospective case series study. From September 2014 to May 2015 in Beijing Aier - Intech Eye Hospital, 263 cases （340 eyes） with vitreous floaters were involved. All patients underwent visual acuity, intraocular pressure, slit lamp, mydriatic fundus, B ultrasonic examination, and recorded the form of a vitreous opacity excluded pathological fundus lesions. All the patients were divided into two groups： Group A （〈30 years old） 78 cases （82 eyes）; the morphology of vitreous opacity were dot, filiform and mesh. Group B （ 〉 45 years old）, 185 cases （258 eyes）, the morphology of vitreous opacity was Weiss ring, translucent flocculent clouds or dense fibrous membrane. Patients in 30 - 45 years old were eliminated because of the untypical opacity factor. The treatment was done by the same physician. Vision changes was analyzed before and after the treatment. RESULTS： Questionnaire survey was done. According to the scores of the questionnaires, patients were divided into 3 groups： no improvement （ 1 - 2 points）, partial improvement （3-5 points）, significant improvement （6-10 points ）. At 1mo after treatment, Group A： no improvement in 9 eyes （11. 0%）, partial improvement in 57 eyes （69. 5%） and significant improvement in 16 eyes （19. 5%）; Group B： no improvement in 0 eyes, partial improvement in 23 eyes （ 8. 9%） and significant improvement in 235 eyes （91. 1%）; all the patients had no complications. CONCLUSION： The treatment with YAG vitreolysis for＆amp;nbsp;vitreous floaters is safe and effective, especially for the patients more than 45 years old whose vitreous floaters caused by posterior vitreous detachment.
出处
《国际眼科杂志》
CAS
2016年第7期1369-1371,共3页
International Eye Science
