摘要
目的观察非接触广角镜下25G＋玻璃体切除手术治疗增生性糖尿病视网膜病变的临床效果及并发症。方法回顾性分析在Resight非接触广角镜下25G＋玻璃体切除手术治疗增生性糖尿病视网膜病变60例（69眼）的临床资料。结果所有手术均顺利完成，手术时间30—100min，平均（61．00±28．17）min。术中较明显出血6眼，医源性裂孔7眼，硅油填充9眼。术后1周，57眼（82．61％）视力提高，2眼眼压〉30mmHg（1mmHg=0．133kPa），应用降眼压滴眼液3d后均恢复正常，2眼再次出血，药物治疗后好转。术后1个月，66眼（95．65％）视力不同程度提高，再次出血2眼（〈1％），l眼出血自行吸收，1眼行玻璃体腔灌洗后未再次出血。术后3个月，64眼（92．75％）视力提高。术后1个月和3个月最佳矫正视力I〉0．1者与术前比较，差异均有统计学意义（χ2=30．804，P=0．000；χ2=34．166，P=0．000）。结论Resight非接触广角镜下25G＋玻璃体切除手术治疗增生性糖尿病视网膜病变，手术时间短、医源性损伤发生率低、术中术后并发症少，可以显著提高视力。
Objective To observe the efficacy and complications of 25G ＋ vitrectomy under Resight non-contact wide angle lenses for the treatment of proliferative diabetic retinopathy （PDR）. Methods The data of 69 eyes of 60 cases with PDR treated by 25G ＋ vitrectomy under Resight non-contact wide angle lenses were collected and retrospectively analyzed. Results All cases received vitrectomy successfully . The operation time was 30-100 rain,mean（61.00 ± 28.17）min. Obvious hemorrhage occurred in 6 eyes during operation, iatrogenic retinal breaks happened in 7 eyes and silicone oil tamponade in 9 eyes. The BCVA improved in 57 eyes（82.61% ） 1 week after surgery. The IOP 〉30mmHg （ 1 mmHg =0. 133 kPa） was in 2 eyes, IOP recovered to normal 3 days after drugs treatment. Two eyes with recurrent hemorrhage improved after drugs treatment. BCVA improved with different extents was in 66 eyes （95. 65% ） 1 month postoperatively, unchanged in 3 eyes. Among 2 eyes with recurrent hemorrhage, hemorrhage absorbed was in 1 eye ,the other eye improved after vitreous cavity lavaged. BCVA improved in 64 eyes（92.75% ）3 month postoperatively. Between preoperative and 1,3 months after surgery, the difference of BCVA were statistically significant（χ2 = 30. 804,P = 0. 000 ;χ2 = 34. 166, P = 0. 000）. Conclusion The 25G ＋ vitrectomy under Resight non-contact wide angle lenses for the treatmlent of PDR can shorten operation time, reduce iatrogenic injury incidence ,decrease complications and increase visual acuity obviously,
出处
《中华眼外伤职业眼病杂志》
2017年第8期596-598,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
