摘要
目的观察晶状体超声乳化联合25G玻璃体切除、内界膜剥除及玻璃体腔注气治疗特发性黄斑孔伴白内障的临床效果。方法特发性黄斑孔伴白内障30例（30眼）行晶状体超声乳化联合25G玻璃体切除、内界膜剥除及玻璃体腔注气，术后行裂隙灯显微镜、前置镜、OCT等检查，并观察视力和眼压。结果术后随访3—1．2个月，无严重并发症发生；人工晶状体位置良好，视力明显提高（t=4．38，P=0．0001）；28眼黄斑孔闭合（闭合率93．3％），2眼（6．7％）较大裂孔未完全闭合，术后继续随访中。结论晶状体超声乳化联合玻璃体切除、内界膜剥除及玻璃体腔注气术治疗特发性黄斑孔伴白内障能明显提高视力，具有微创、高效、裂孔闭合率高及并发症少等优点。
Objective To observe the clinical effect of phacoemulsification combined with 25G transconjunctival sutureless vitrectomy, internal limiting membrane peeling and intravitreal gas injection for idiopathic macular hole with cataract. Methods A total of 30 eyes of 30 patients with cataract and idiopathic macular hole were enrolled. All patients received phacoemulsification combined with 25G transconjunctival sutureless vitrectomy, internal limiting membrane peeling and intravitreal gas injection. After the operation the best corrected visual acuity （BCVA） ,intraocular pressure, the evidences of OCT, and the incidence of postoperative complications were comparatively analyzed. Results The surgeries were successfully performed in all patients and the patients were followed up for 3-12 months. The BCVA improved obviously （ t = 4.38, P =0. 0001 ）. The macnlar hole closed in 28 eyes （93.3%） , not closed in 2 eyes, and the following up was continuing. Conclusion Phacoemulsification combined with 25G vitrectomy, internal limiting membrane peeling and intravitreal gas injection for idiopathic macular hole with cataract is minimally invasive and effective, which can reduce the complication and improve visual acuity.
出处
《中华眼外伤职业眼病杂志》
2016年第9期673-676,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
基金
河南省科技惠民计划项目（142207310002）基金项目：郑州市科技惠民计划项目（141pkjhm468）
