摘要
目的报告特发性全层黄斑裂孔(IFMH)施行平坦部玻璃体切除(PPV)手术后的解剖学结果与视力预后。方法11例手术后至少随访12个月,手术方法为一标准的PPV手术,术中切除后玻璃体皮质,气-液交换,眼内注入15%C3F8气体,术后低头位至少5天。结果一次手术后11例中有9例(81.9%)获得解剖学的裂孔闭合,最佳矫正视力由术前平均0.13(0.02～0.3)增至术后平均0.24(0.01～0.6)(P<0.01),73%病例获得视力增进,有2例在术后1.5～2年又做了白内障摘除和眼内人工晶状体植入术,未见术后视网膜前膜形成及术后黄斑裂孔再裂开。结论IFMH手术不用辅助剂治疗,大多数病例术后视功能可获良好的远期结果。
Objective To report the anatomical and functional results after pars plana vitrectomy （PPV） for idiopathic full-thickness macular holes （1FMH）. Methods Eleven patients with a follow-up of at least 12 months were included. The surgical technique consisted of a standard PPV. peeling of posterior cortical vitreous, air-fluid exchange, and an intraocular gas tamponade （15%C3F8） followed by headdown positioning for at least 5 days, Results Anatomic closure was achieved in 9 （81.9 % ） of 11 patients by one surgical procedure. Best - corrected visual acuity improved from mean of 0.13 （0.02 ～0.3） preoperatively to a mean 0.24 （0.01～0.6） postoperatively （P 〈0.01 ）, An improvement of visual acuity was achieved in 73% of patients. Two patients underwent cataract surgery with intraocular lens （IOL） implant postoperative 1.5～2 years later. No postoperative epiretinal membrane formation or late reopening of the macular hole was observed. Conclusions Senile idiopathic full thickness macular hole surgery without the use of adjuvants may lead to good functional long-term results in most cases.
出处
《中国实用眼科杂志》
CSCD
北大核心
2005年第8期848-849,共2页
Chinese Journal of Practical Ophthalmology
