【摘要】：目的研究23 G玻璃體切割聯(lián)合雙重多次染色黃斑前膜、內(nèi)界膜治療黃斑裂孔性視網(wǎng)膜脫離的療效。方法回顧性分析我院確診的伴黃斑前膜的黃斑裂孔性視網(wǎng)膜脫離患者19例19眼。接受三通道閉合式經(jīng)睫狀體平坦部23 G玻璃體手術(shù)。手術(shù)在曲安奈德標(biāo)記、亮藍(lán)染色輔助下23 G玻璃體切割,23 G內(nèi)界膜鑷分層剝離黃斑前膜及內(nèi)界膜,硅油填充。3個(gè)月后取出硅油填充C3F8氣體。觀察手術(shù)時(shí)間及術(shù)后最佳矯正視力、黃斑裂孔閉合和視網(wǎng)膜脫離復(fù)位情況,同時(shí)觀察術(shù)中、術(shù)后并發(fā)癥情況。術(shù)后隨訪6~10(6.0±0.2)個(gè)月。結(jié)果手術(shù)時(shí)間60~90 min,平均80 min;黃斑裂孔封閉、視網(wǎng)膜復(fù)位率為94.7%;術(shù)后最佳矯正視力0.01~0.04者3眼,0.05~0.10者12眼,0.12~0.25者4眼;術(shù)中剝離內(nèi)界膜時(shí)部分視網(wǎng)膜點(diǎn)狀出血,用笛針吸除大部分出血,必要時(shí)行視網(wǎng)膜激光光凝。術(shù)后2眼高眼壓,予以局部降眼壓藥物治療,7~13 d眼壓平穩(wěn)恢復(fù)正常。余未見其他術(shù)中、術(shù)后并發(fā)癥發(fā)生。結(jié)論 23 G玻璃體切割聯(lián)合雙重多次染色黃斑前膜、內(nèi)界膜治療黃斑裂孔性視網(wǎng)膜脫離取得了較好療效,不同程度上改善了視力,縮短了手術(shù)時(shí)間,減少了并發(fā)癥的發(fā)生。
[Abstract]:Objective to study the efficacy of 23 G vitrectomy combined with double multiple staining of macular anterior membrane and internal boundary membrane in the treatment of macular hole retinal detachment. Methods a retrospective analysis of 19 patients with macular retinal detachment with macular retinal detachment with macular membrane in our hospital and 19 eyes received three channel closed pars plana 23 G vitreous surgery was performed. Triamcinolone acetonide marker, bright blue staining assisted 23 G vitreous cutting, 23 G internal boundary membrane tweezers delamination of macular membrane and inner boundary membrane, silicone oil filled with C3F8 gas after.3 months, the operation time and postoperative best corrected visual acuity, macular hole closure and retinal detachment reduction were observed, and postoperative complications were observed. The operation time was 6~10 (6 + 0.2) months after operation. Results the operation time was 60~90 min, average 80 min, macular hole closed, retinal reposition rate was 94.7%; the best corrected visual acuity was 3 eyes, 12 eyes of 0.05~0.10 and 4 eyes of 0.12~0.25, and partial retinal membrane bleed when stripping the inner boundary membrane during the operation, most of the bleeding was sucked out with flute needle and needed to be seen when necessary. Omentum laser photocoagulation. 2 eye pressure after operation, local intraocular pressure (IOP) was treated with local intraocular pressure (IOP) and 7~13 D eye pressure was restored to normal. No other intraoperative complications were seen. Conclusion 23 G vitrectomy combined with double multiple staining of macular membrane, and internal boundary membrane for macular hole optic membrane detachment achieved good effect and improved to different degrees. Eyesight shortens operation time and reduces complications.
【作者單位】： 唐山市眼科醫(yī)院;
【分類號(hào)】：R779.6

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本文編號(hào)：2132972