摘要
目的探讨高度近视MHRD患者的治疗方法。方法将80例高度近视MHRD患者以手术方式的不同分成两组,各40例。两组均行玻璃体切除术,A组联合内界膜翻转填塞术,B组联合内界膜剥除术。对比两组黄斑裂孔闭合率、视网膜复位率、视力恢复及眼压变化情况。结果A组黄斑裂孔闭合率高于B组(χ^(2)=5.17,P=0.023);两组视网膜复位率、logMAR BCVA下降幅度及高眼压发生率比较无统计学意义(P>0.05)。结论在高度近视MHRD患者治疗中,采用玻璃体切除+内界膜翻转填塞手术、玻璃体切除+内界膜剥除术均可有效促进视网膜复位以及视力恢复,但前者可有效提升黄斑裂孔闭合率,可预防视网膜再脱离。
Objective To explore the treatment of MHRD of high myopia cases.Methods 80 MHRD patients with high myopia were treated in two groups(with 40 cases in each group)with different surgical methods.Both groups underwent vitrectomy,and Group A received internal limiting membrane reversal tamponade in addition while Group B received internal limiting membrane stripping.The closure rate of macular hole,the rate of retinal reattachment,the visual acuity recovery and the changes in intraocular pressure were compared between the two groups.Results The closure rate of macular hole in Group A was higher than that in Group B(χ^(2)=5.17,P=0.023).There existed no significant difference between the two groups in the rate of retinal reattachment,the decrease of logMAR BCVA and the incidence of high intraocular pressure(P>0.05).Conclusion Both methods can effectively promote retinal reposition and visual recovery in treating MHRD patients with high myopia.
作者
孙艳
SUN Yan(Linyi City Traditional Chinese Medicine Hospital,Linyi,China 276000)
出处
《山东医学高等专科学校学报》
2023年第1期9-12,共4页
Journal of Shandong Medical College
关键词
内界膜翻转填塞
内界膜剥除
黄斑裂孔性视网膜脱离
Inner limiting membrane reversal tamponade
Internal limiting membrane stripping
Macular hole retinal detachment
