摘要
目的探讨眼内空气填充在视网膜有牵引孔的增生性糖尿病视网膜病变（PDR）玻璃体切除术中的应用。方法收集50例（50眼）PDR行玻璃体切除术中发现视网膜后极部或上方牵引孔致局限性视网膜脱离的临床资料。随机分为两组：观察组32例（32眼），术中玻璃体腔填充空气；对照组18例（18眼），术中玻璃体腔填充硅油。观察术后视力、并发症及视网膜复位状况。随访时间6～10个月。结果观察组术后6个月视力提高28眼（87．5％），视力无明显改善3眼，视力下降1眼；对照组18眼中视力提高14眼（77．8％），视力无明显改善2眼，视力下降2眼。两组术后均无视网膜脱离复发。观察组3眼术后早期有轻度出血性玻璃体浑浊，均在术后1个月内吸收。结论眼内空气填充在视网膜后极部及上方有牵引孔的PDR的玻切治疗中安全有效，可改善患者视力，且并发症少，可提升患者的术后生活质量。
Objective To investigate the application of air tamponade in vitrectomy for the treatment of proliferative diabetic retinopathy（PDR） with retinal tear. Methods The data of 50 eyes of 50 cases with localized retinal detachment caused by retinal tear in the posterior pole or the upper of retina were gathered. All cases underwent pars plana vitrectomy. They were randomly divided into 2 groups. The observation group, 32 cases, received air tamponade after vitrectomy and the control group, 18 cases, received silicon oil tamponade. The complications, postoperative visual acuity and retinal reattachment condition were observed. The follow-up time was 6-10 months. Results Six months after surgery, the visual acuity improved in 28 eyes, no changed in 3 eyes, and decreased in 1 eye in observation group. The postoperative visual acuity improved in 14 eyes, no changed in 2 eyes, and decreased in 2 eyes in control group. No recurrence of retinal detachment occurred. Conclusion Air tamponade combined with vitrectomy is safe and effective in the treatment of PDR with retinal tear in the posterior pole or the upper of the retina. Air tamponade with less complication could improve the quality of life and avoid the second surgery.
作者
李立超
万光明
梁申芝
钱诚
王炯
Li Lichao;Wan Guangming;Liang Shenzhi;Qian Cheng;Wang Jiong(Department of Ophthalmology, the First Affiliated Hospital of Zhengzhou University, Henan Provincial Eye Hospital, Zhengzhou 450052, Chin)
出处
《中华眼外伤职业眼病杂志》
2018年第6期445-448,共4页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
