摘要
目的对比特发性黄斑前膜应用23G玻璃体切除手术联合与不联合内界膜(ILM)剥除治疗的效果。方法选择我院2015年3月至2017年3月收治的60例(60只眼)特发性黄斑前膜患者,随机分成观察组(30例30只眼)和对照组(30例30只眼)。对照组进行23G玻璃体切除手术不剥除内界膜治疗,观察组给予23G玻璃体切除手术联合内界膜剥除治疗,观察比较两组治疗效果。结果观察组log MAR BCVA为(0. 53±0. 26),与对照组比较无明显差异(P> 0. 05);观察组黄斑中心凹视网膜厚度为(343. 54±48. 73)μm,与对照组比较,差异显著(P<0. 05);观察组黄斑体积为(7. 79±0. 41) mm^3,与对照组对比无显著差异(P> 0. 05)。结论 23G玻璃体切除手术联合与不联合ILM剥除治疗特发性黄斑前膜效果相当,联合ILM剥除在改善视力方面与不联合ILM相当,且术后黄斑中心凹视网膜厚度更加厚。
Objective To compare the effect of 23G vitrectomy combined with and without internal limiting membrane (ILM) removal for idiopathic macular epiretinal membrane. Methods 60 patients with idiopathic macular epiretinal membrane admitted to our hospital from March 2015 to March 2017 were randomly divided into the observation group (30 cases, 30 eyes) and the control group (30 cases, 30 eyes). The control group was treated with 23G vitrectomy without removing the internal limiting membrane. The observation group was treated with 23G vitrectomy combined with internal limiting membrane peeling. The therapeutic effects of the two groups were observed and compared. Results In the observation group, logMAR BCVA (0. 53 + 0.26), compared with the control group had no significant difference ( P >0.05); the observation group CMT (343.54 + 48.73)μm, compared with the control group, the difference was significant ( P <0.05); the observation group TMV (7.79 + 0.41) mm 3, and control contrast group had no significant difference ( P >0.05). Conclusions 23G vitrectomy combined with ILM dissection is effective in the treatment of idiopathic macular epiretinal membrane. Combined with ILM stripping is similar to ILM in improving vision, and CMT is thicker after operation.
作者
单俊杰
曹国平
Shan Junjie;Cao Guoping(Shan Junjie,Cao Guoping, Taizhou People’s Hospital,Taizhou,Jiangsu 225300,China)
出处
《临床眼科杂志》
2018年第6期485-487,共3页
Journal of Clinical Ophthalmology
关键词
玻璃体切除
内界膜
特发性黄斑前膜
疗效
Vitrectomy
Internal limiting membrane
Idiopathic macular epiretinal membrane
Curative effect
