摘要
目的 观察玻璃体切除联合内界膜剥离治疗外伤性黄斑孔性视网膜脱离的疗效及对视功能的影响.方法 回顾性分析30例（30只眼）外伤性黄斑孔性视网膜脱离行玻璃体切除联合内界膜剥离手术的临床资料.观察术后视力、黄斑区OCT及多焦视网膜电图（mfERG）的变化.随访12个月.结果 术后视网膜解剖复位率80.00％,术后视力提高者占83.3％.术后mfERG显示N1波2～4环的反应密度及P1波2～5环的反应密度均高于术前,N1波潜伏期在4环、P1波潜伏期在3～5环与术前相比差异有统计学意义（P＜0.05）.结论 玻璃体切除联合内界膜剥离手术治疗外伤性黄斑孔性视网膜脱离的疗效佳,并发症少,可以明显改善视功能.
Objective To observe the clinical effect and visual function of vitrectomy combined with internal limiting membrane peeling for traumatic macular hole retinal detachment.Methods The clinical data of 30 eyes of 30 patients with traumatic macular hole retinal detachment who had undergone vitrectomy combined with internal limiting membrane peeling were analyzed retrospectively.The visual acuity and changes of macular area optical coherence tomonraphy （OCT） and multifocal electroretinogram （mfERG） in pre-operation and post-operation were observed.The follow-up time was 12 months.Results The retinal reattachment rate after surgery was 80.00%.Most of the patients achieved a better final visual acuity.Mf-ERG showed the response densities of ring 2,ring 3,and ring 4 areas of N1 wave and ring 2,ring 3,ring 4 and ring 5 areas of P1 wave in postoperative group were significantly increased while the latencies of ring 4 of N1 wave and the latencies of ring 3,ring 4 and ring 5 of P1 wave were significandy different with that of preoperative group （P 〈 0.05）.Conclusion Vitrectomy combined with internal limiting membrane peeling for traumatic macular hole retinal detachment is effective with fewer complications and can significantly improve visual function.
出处
《中华眼外伤职业眼病杂志》
2015年第3期184-187,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
视网膜脱离
黄斑孔
外伤性
玻璃体切除
内界膜剥离
Retinal detachment,macular hole,traumatic
Vitrectomy
Peeling,internal limiting membrane
