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玻璃体切除术治疗增生型糖尿病视网膜病变的效果观察 被引量:9

Treatment of proliferative diabetic retinopathy by vitrectomy
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摘要 目的观察分析玻璃体切除术治疗增生型糖尿病视网膜病变(PDR)的效果。方法对行玻璃体手术治疗的54例(63眼)PDR病例进行回顾性分析,并总结造成术后视力不良的原因。结果术后随访5~24个月,术后矫正视力改善48眼(76.19%),63眼中视力≥0.01者由术前23眼(36.51%)增加到术后49眼(77.78%),其中视力≥0.1者由术前3眼(4.76%)增加到术后27眼(42.86%),8眼(12.70%)与术前比较变化不明显,7眼(11.11%)较术前稍有下降。Ⅳ,V期患眼术后视力改善程度(84.78%)明显好于Ⅵ期者(52.94%)。结论玻璃体切除术是治疗PDR的有效方法,合理掌握手术时机、减少术中术后并发症对治疗效果很关键。 Objective To study the effect of vitrectomy on proliferative diabetic retinopathy (PDR). Methods Sixty-three eyes with PDR in 54 patients undergone standard vitreoretinal surgery were analyzed retrospectively, and the causes of poor sight after operation were summarized. Results The follow-up period was 5 to 24 months. After surgery, visual acuity improved in 48 eyes (76,19%). In the 63 eyes, the number of eyes with visual acuity (VA) = 0. 01 were increased from 23 (36. 51%) to 49 (77.78%), and the number of eyes with VA = 0. 1 were increased from 3(4.76% ) to 27(42.86% ). There was no marked change in 8 eyes (12.70%), and a little descent in 7 eyes ( 11. 11% ). And the proportion of the improved eyes was higher in stage Ⅳand Ⅴ(84.78% ) than in stage Ⅳ(52.94% ). Conclusion Vitrectomy is an effective treatment for PDR. The key factors influencing postoperative visual acuity are right timing of operation and decreasing of operative complications.
出处 《眼外伤职业眼病杂志》 2009年第2期107-110,共4页 Journal of Injuries and Occupational Diseases of the Eye with Ophthalmic Surgeries
关键词 糖尿病视网膜病变 增生型 玻璃体切除术 diabetic retinopathy, proliferative vitrectomy
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参考文献16

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二级参考文献34

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