摘要
目的观察非接触广角镜下行吲哚氰绿染色联合25G玻璃体切割治疗特发性黄斑前膜的手术效果。方法 2014年3月-2015年11月以来收治黄斑前膜48例计48只眼的临床资料,所有患者都接受在非接触广角镜辅助下行25G玻璃体切割手术治疗,术中均行吲哚氰绿染色。患者均经病史咨询,黄斑OCT等检查严格入组。手术方式均为闭合三通道玻璃体切割术,术前未注入任何药物,未使用填充物。术后随访时间6~12个月,平均8月。结果非接触广角镜下行吲哚氰绿染色联合25G玻璃体切割治疗特发性黄斑前膜,手术时间最短30min,最长45min,平均手术时间为38min,38只眼术后视力好转,黄斑区内界膜剥除完整,黄斑中心凹厚度术后随时间逐渐下降,3月后处于稳定。所有患者均未出现严重并发症及复发。结论接触广角镜辅助下行25G玻璃体切割术治疗特发性黄斑前膜可缩短手术时间,提高患者耐受程度,吲哚青绿染色可提高术者黄斑区内界膜剥离质量,有助于患者术后视力恢复症状改善。三者联合使用在临床上有广泛的应用前景。
Objective To evaluate the clinical effect of 25-gauge vitrectomy guided by indocyanine green staining for idiopathic macular epiretinal membrane(IMEM) with the help of Resight non-contact wide angle lenses.Methods The clinical data of 48 cases(48 eyes) were recorded from Mar 2014 to Nov 2015.All the patients received the operation of 25-gauge vitrectomy which was guided by indocyanine green staining with the help of Resight non-contact wide angle lenses during operation.Preoperatively,no drug was injected and no stuffing was used.All the patients were recruited strictly according to history taking and macular optical coherence tomography(OCT).The mean follow-up time was 8 months, ranging from 6 months to 12 months.Results The mean operation time was 38 mins with the range from 30 mins to 45 mins.The vision of 38 eyes improved and the removal of the inner membrane of macular area was complete.The thickness of the macular central fovea decreased gradually with time and tended to be stable after 3 months.No patients had serious postoperative complication and recurrence.Conclusion The surgical technique of 25-gauge vitrectomy guided by indocyanine green staining with the help of non-contact wide angle lenses can shorten the operation time and improve the tolerance ability of IMEM patients.The indocyanine green staining can increase the removal quality of macular inner membrane, leading to the symptomatic improvement and vision recovery.The combined utilization of the three will have a wide application prospect in the clinical practice.
出处
《云南医药》
CAS
2017年第6期557-560,共4页
Medicine and Pharmacy of Yunnan
基金
云南省丽江纳西族糖尿病视网膜病变的流行病研究
课题编号:2014FB076
硅油填充眼引起的角膜带状变性与光照的相关研究
基金号:2014NS041
关键词
特发性黄斑前膜
非接触广角镜
吲哚氰绿染色
Idiopathic macular epiretinal membrane
Resight non-contact wide angle lenses
Indocyanine green staining
