摘要
目的 探讨不同类型的黄斑前膜手术的成功率和手术损伤视力的风险。 方法 对 5 6例患有不同类型的黄斑前膜患者的 5 7只手术眼的结果进行回顾性分析 ,观察手术前后视力改变 ;不同类型黄斑前膜术后视力改善的比较 ;视物变形改善率 ;术中并发症 ;术后并发症。 结果 视力改善 2行以上 4 1只眼占 78.8% ,改善率高的为扣带术后黄斑前膜和黄斑裂孔合并黄斑前膜 ,其次为特发性黄斑前膜 ,玻璃体黄斑牵引综合征的视力改善较差。总体近视力改善高于远视力。视物变形改善率为 6 5 .0 %。术中并发症为原裂孔开放 4只眼和新裂孔形成 5只眼。 结论 扣带术后黄斑前膜 ,黄斑裂孔合并黄斑前膜以及特发性黄斑前膜手术后的视力改善率较高 。
Objective To evaluate the success rate and the risk of impairing vision for epimacular surgery. Methods A retrospective analysis of 57 eyes with epimacular membrane after surgery was made, and the changes in visual acuity and near visual acuity, in different etiology, improvement in distortion, as well as intraoperative and postoperative complications were compared. Results The eyes of 78 8% achieved a visual improvement of more than 2 lines. The visual improvement after surgery of epimacular membranes was the most in buckling group, then in macular hole with epimacular membrane and idiopathic eyes, the change was very limited in macular traction syndrome. The improvement of near visual acuity is usually better than distant visual acuity. The improvement rate of distortion is of 65 0%. The main intraoperative complication was reopen of the primary hole(4 eyes) and the formation of new hole(5 eyes). Conclusion Surgical peeling for epimacular membranes can improve the visual acuity and distorted vision,particularly in epimacular membrane after buckling surgeries, with macular hole and idiopathic eyes. possible risks might be present in surgical manipulation.
出处
《中华眼底病杂志》
CAS
CSCD
2002年第3期193-195,共3页
Chinese Journal of Ocular Fundus Diseases
关键词
黄斑前膜
玻璃体
外科手术
Vitreous body/surgery
Epimacular membranes
