摘要
目的评价玻璃体视网膜手术治疗早产儿视网膜病变（ROP）视网膜全脱离的临床效果。方法回顾分析接受玻璃体视网膜手术治疗的56例5期（视网膜全脱离）ROP患儿73只眼的临床资料。手术时患儿年龄为3～84个月，平均年龄（13．02±14．64）个月，出生胎龄为25～36周，平均胎龄（29．5±2．22）周；出生体重为900～2500g，平均体重（1400．19±300．05）g；吸氧时间为2～90d，平均吸氧时间为（20．53±18．91）d。手术包括开放玻璃体切割手术和闭合晶状体切除、玻璃体切割手术。视网膜解剖复位的标准以黄斑复位为视网膜复位成功，视网膜复位黄斑脱离为部分成功，视网膜未复位为手术失败。结果手术后10只眼视网膜复位成功，占13．690；20只眼视网膜复位部分成功，占27．390；43只眼视网膜复位失败，占58．9％。手术后视力为手动者9只眼，占12．330；条栅视力〉0．004者6只眼，占8．21％。结论ROP视网膜全脱离的玻璃体视网膜手术治疗手术难度较大，手术后仅少数患儿视网膜复位成功，部分患儿视功能有一定恢复。
Objective To evaluate the clinical effects of vitrectomy on total retinal detachment in patients with retinopathy of prematurity （ROP）. Methods The clinical data of 73 eyes of 56 patients with total retinal detachment in ROP （stage 5） who had undergone vitrectomy were retrospectively analyzed. The age of the patients when underwent the surgery was 3-84 months old with the average of （13.02±14.64） months. The gestation age ranged from 25 to 36 weeks with the average of （29.5± 2.22） weeks; the birth weight ranged from 900 to 2500 g with the average of （1400.19±300.05） g; the oxygen-inhaling time ranged from 2 to 90 days with the average of （20.53± 18.91） days. The surgery included open vitrectomy, closed lens extraction, and vitrectomy. The anatomical outcomes of retinal reattachment were categorized as success： macular reattachment; partial success： macular detachment; and failure： total retinal detachment. Results After the operation, the anatomical outcome was succeed in 10 eyes （13. 69%）, partially succeed in 20 eyes （27.39%）, and failed in 43 eyes （58. 9%）. The visual acuity was hand moving in 9 eyes （12. 33%）, and the grating acuity was better than 0. 004 in 6 eyes （8.21%） after the surgery. Conclusions The procedures of vitrectomy for retinal detachment in ROP is difficult, and the prognosis of the operative therapy is poor. After the operation, only a few patients get retinal reattachment, and few have certain-extent recovery of the visual acuity.
出处
《中华眼底病杂志》
CAS
CSCD
北大核心
2008年第1期5-8,共4页
Chinese Journal of Ocular Fundus Diseases
