摘要
目的观察再次玻璃体腔内惰性气体全氟丙烷（C3F8）填充术治疗特发性黄斑孔的临床效果。方法2015年8月至2016年11月特发性黄斑孔行玻璃体切除联合内界膜剥除及C3F8气体填充手术后1个月未愈合的特发性黄斑孔18例（18眼），进行再次C3F8气体填充术，术后随访3个月，观察视力及黄斑孔情况并进行回顾性分析。结果术后3个月，术后黄斑孔闭合者13眼，有效率为72．22％，术前及术后视力比较，差异有统计学意义（P〈0．05）。结论对于特发性黄斑孔行内界膜剥除C3F8气体填充手术未愈合的病例，再次玻璃体腔C3F8填充，可以提高黄斑孔的愈合率，改善视功能。
Objective To observe the clinical efficacy of intravitreous retamponing with peffluoropropane（C3F8） for the treatment of idiopathic macular hole. Methods From Aug. 2015 to Nov. 2016, 18 eyes of 18 cases with idiopathic macular hole were collected and they underwent vitrectomy combined with internal limiting membrane peeling and C3Fs tamponade. One month after surgery the idiopathic macular hole was not healed. All patients received retamponing with C3F8, and followed-up for 3 months. The visual acuity and macular hole were observed and retrospectively analyzed. Results Three months after refilling surgery, the macular hole was closed in 13 eyes, and the effective rate was 72.22%. The difference in visual acuity was statistically significant between before and after second surgery （P 〈 0. 05 ）. Conclusion The surgery of retamponing with C3F8 for the treatment of unhealed idiopathic macular hole after internal limiting membrane peeling and C3 Fs tamponade is effective. It can improve the healing rate of macular hole and improve visual function.
出处
《中华眼外伤职业眼病杂志》
2017年第10期768-770,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
