摘要
目的评价玻璃体切除联合内界膜剥离及空气填充术治疗特发性黄斑孔的临床效果。方法回顾性分析2016年12月至2018年1月收治的特发性黄斑孔38例(38眼)的临床资料,均行25G玻璃体切除切除联合内界膜剥离及空气填充术治疗。术后随访3个月,观察患眼术后视力和黄斑孔闭合情况。结果至末次随访,38例中黄斑孔完全闭合28例,暴露性闭合5例,闭合率86.84%(33/38)。术后3个月黄斑孔未闭合5眼均较术前显著缩小,差异有统计学意义(t=3.680,P=0.010)。手术前后视力(BCVA,logMAR)分别为1.15±0.31和1.03±0.36,差异有统计学意义(t=2.076,P=0.041)。结论对特发性黄斑孔采用玻璃体切除切除联合内界膜剥离及消毒空气填充术治疗可获得良好疗效。
Objective To evaluate the clinical efficacy of vitrectomy combined with internal limiting membrane peeling and air tamponade for the treatment of idiopathic macular hole. Methods The data of 38 eyes of 38 patients with idiopathic macular hole from Dec. 2016 to Jan. 2018 were analyzed retrospectively, and all cases underwent vitrectomy, internal limiting membrane peeling combined with air tamponade. Follow up time was 3 months after operation, and the BCVA and macular hole closure were observed. Results At the end of follow-up, the macular hole were complete closed in 28 cases, were exposed in 5 cases, the closure rate was 86.84%(33/38). The minimum diameter of macular hole in 5 unclosed eyes at 3 months after operation was significantly smaller than that before operation(t=3.680, P=0.010). The difference of BCVA was statistically significant between before and after operation (t=2.076, P=0.041). Conclusion Vitrectomy combined with internal limiting membrane peeling and air tamponade for the treatment of idiopathic macular hole is effective.
作者
李涛
侯瑞昌
张日新
Li Tao;Hou Ruichang;Zhang Rixin(Department of Ophthalmology,Ophthalmology and Otorhinolaryngology Hospital of Jiaozuo,Henan 454100,China)
出处
《中华眼外伤职业眼病杂志》
2019年第5期353-355,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
黄斑孔
特发性
剥离
内界膜
玻璃体切除术
填充
空气
Hole, macular, idiopathic
Peeling, internal limiting membrane
Vitrectomy
Tamponade, air
作者简介
通信作者:李涛,Email:kdyfylb11@163.com,电话:0391-2912614.
