摘要
目的观察内界膜剥离联合硅油充填治疗高度近视黄斑孔视网膜脱离的疗效。方法对2009年1月至2013年7月在我科就诊的26例（26眼）高度近视黄斑孔视网膜脱离行玻璃体切除联合内界膜剥离和硅油充填术，检查其最佳矫正视力、术后视网膜复位、裂孔闭合及并发症情况。术后随访12～24个月。结果26例首次玻璃体手术后视网膜均复位（硅油填充状态下），其中22例取出硅油后至随访末期视网膜复位良好；4例取出硅油后视网膜再脱离，经二次手术联合黄斑孔周围激光光凝和硅油充填，视网膜复位，6个月后取出硅油视网膜复位良好。随访末期20例视力提高，4例视力未变，2例视力下降。结论玻璃体切除联合内界膜剥离和硅油充填术是治疗高度近视黄斑孔视网膜脱离的有效方法。
Objective To observe the effect of surgical treatment for the macular hole retinal detachment in high myopia by internal limiting membrane peeling combined with silicone oil tamponade. Methods From January 2009 to July 2013, 26 eyes of 26 patients with macular hole retinal detachment in high myopia in our department underwent vitrectomy combined with internal limiting membrane peeling and silicone oil tamponade. The best corrected visual acuity, postoperative retinal reattachment, the macular hole closure and complications were recorded in the follow-up of 12-24 months. Results All the 26 eyes got retinal reattachment after the first operation. Among them, 22 eyes kept retinal attachment after removal of silicone oil, 4 eyes occurred recurrent retinal detachment after removal of silicone oil. By laser photocoagulation in retinal around the macular hole and silicone oil tamponade, the retina reattached again. Six months later, the silicone oil was removed , the retinal kept attachment still. At the end of follow-up, the best corrected visual acuity improved in 20 eyes, unchanged in 4 eyes, dropped in 2 eyes. Conclusion Vitrectomy combined with internal limiting membrane peeling and silicone oil tamponade is an effective treatment for macular hole retinal detachment in high myopia.
出处
《中华眼外伤职业眼病杂志》
2016年第10期763-765,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
