摘要
目的 回顾性分析玻璃体切割术治疗增生型糖尿病视网膜病变(PDR)的疗效。 方法 对18例(22眼)PDR患者行常规平部三通道玻璃体切割术,并根据病情分别联合晶状体摘出或超声乳化、剥膜、视网膜复位、眼内光凝、硅油填充、巩膜环扎等附加术式。 结果 随访4～22个月,术后矫正视力改善16眼(72.7％),脱盲率59.1％,脱残率9.1％,解剖复位率86.3％;牵拉性视网膜脱离未累及黄斑但已引起黄斑变形的患眼其术后视力改善好于已累及黄斑的结论 玻璃体切割术仍是治疗PDR的有效手段,牵拉性视网膜脱离威胁到黄斑或导致黄斑变形时早期手术疗效更好。
Objective To evaluate the effect of vilrectorny for the Irealmenl of proliferalive diabetic relinopalliy ( PDK ) . Methods Eighteen cases (22 eyes) with PDR were operated in a standard surgery ol ihree-point vilreetomy. Lensectomy or ultrasonic fragmentation, membrane peeling, retinal reattachment, endolaser coagulation, silk-one oil tamponade and scleral buckling were applied when needed. The patients were followed up for 4 -22 months after surgery. Results Visual acuih got unproved in 16 eyes(72. 7% ) postoperalively. The final visual acuity was 0. 05 or better in 59.1% ,and 0. 3 or belter in 9. 1 % . The visual acuity of eyes with progressive traction detachment involving the maeular or causing macular distortion was heller than that of traction detachment extending to macular. Conclusion Vilrectomy is still an effective treatment for PDR, early vitrectomy is beneficial to progressive traction detachment closed to macular or causing macular distortion.
出处
《眼科研究》
CSCD
北大核心
2003年第1期80-81,共2页
Chinese Ophthalmic Research
关键词
增生型糖尿病视网膜病变
玻璃体手术
PDR
疗效
diabetic retinopathy vitrectomy retinal detachment visual acuity scleral buckling
