摘要
目的观察23G玻璃体切除手术治疗孔源性视网膜脱离的临床效果。方法对23例（23眼）孔源性视网膜脱离应用23G玻璃体切除手术联合全氟丙烷（C3F8）或硅油填充，下方视网膜裂孔者联合巩膜外加压，合并白内障者同时对白内障行超声乳化吸出术。随访3～10个月，观察术后视网膜复位、视力等情况。结果23眼手术顺利完成。术后3个月时视网膜复位21眼（91．30％），2眼（8．70％）视网膜脱离复发，再次玻璃体手术填充硅油视网膜复位。未发生其他并发症。术后3个月时视力：（1）黄斑区未脱离眼：术前最佳矫正视力0．1～0．5，LogMAR视力：1．0～0．3，平均0．42±0．29。术后最佳矫正视力0．2—0．5，LogMAR视力：0．7～0．3，平均0．38±0．19，t=1．83，P〉0．05，与术前比较差异无统计学意义。（2）黄斑区脱离眼：术前最佳矫正视力0．08～0．2，LogMAR视力：1．1～0．7，平均0．81±0．13。术后最佳矫正视力0．15—0．5，LogMAR视力：0．8～0．3，平均0．47-e0．26，t=5．78，P〈0．05，与术前比较差异有统计学意义。结论23G玻璃体切除手术治疗孔源性视网膜脱离效果良好，并发症少。
Objective To observe clinical efficacy of 23-gauge （23G） transconjunctival vitrectomy for rhegmatogenous retinal detachment. Methods 23 eyes of 23 patients with rhegmatogenous retinal de- tachment had undergone 23G transconjunctival vitrectomy with perfluoropropane gas （C3 Fs ） or silicone oil tamponade. Scleral bulking was done for inferior retinal hole. And phacoemulsifieation was done for patients with cataract at the same time. The follow-up ranged from 3 to 10 months. The postoperative retinal reposition and visual acuity were observed. Results The surgery was sucessfully completed in 23 eyes. The retinal re- attached in 21 eyes （91.30%） 3 months after surgery, The 2 eyes （8.70%） recurrred retinal detachment were accepted silicone oil tamponade for retinal reattachment. The other complications were not found. 3 months postoperative vision： （ 1 ） In the eyes without macular detachment： the preoperative best corrected visual acuity （BCVA） was O. 1 - 0.5, LogMAR visual acuity 1.0 - 0.3, the average 0.42 ＋ 0.29, postop- erative BCVA was O. 2 - 0.5, LogMAR visual acuity O. 7 - 0.3, the average O. 38 ＋ 0.19, （ t = 1.83,P 〉 0.05 ） , there was no statistically significant difference compared with the preoperative one. （2） In the eyes with macular detachment ： The preoperative BCVA was 0.08 - 0.2, LogMAR visual acuity 1.1 - 0.7, the average O. 81 ± O. 13,the postoperative BCVA was O. 15 - 0.5, LogMAR visual acuity O. 8 - 0.3, the aver- age 0.47 ± 0.26, the difference was statistically significant compared with the preoperative one （ t = 5.78, P 〈 0.05 ）. Conclusion 23 G transconjunctival vitrectomy is an effective surgery for the management of reti- nal detachment.
出处
《中华眼外伤职业眼病杂志》
2014年第1期34-37,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
